New Customer Registration

Please ONLY complete this form if you are not an existing customer and would like to begin trading with us.

Our dedicated customer services team can answer any questions you may have and are here to guide you through the registration process.
Telephone: +44 (0)117 9430 812 - Email: newbiz@essential-trading.coop

Please note that as a wholesaler we cannot supply individual members of the public.

Required information is denoted with a *

Name and contact details

* Business/Buying Group Name: * Full Contact Name:
* Telephone: * Email address:
 
Accounts Dept: - tick if contact/phone/email is as above
* Accounts Phone: * Accounts contact:
* Accounts docs by: * Accounts Email:
 
Delivery Address: Billing Address: - tick if same as deliv.
* Address 1: * Address 1:
Address 2: Address 2:
Address 3: Address 3:
Address 4: Address 4:
* Postcode: * Postcode:
* Country: * Country:
 
Mobile: * Type of business:
Fax: * Business status:
Web address: If other, please specify:
* How you found us? Company reg. no:
* Prefer contact by: Company VAT no:
* Prefer shopping by: * Prefer paying by:
 
 

Additional information

 
If you are a fellow Co-operative, please tick here:
If you require a paper copy of our catalogue please tick here:

Please tell us a bit about your business, including information regarding site access for our lorries:

 

Terms & Conditions

 
I agree with the above T&Cs 
 
 
x
x