Trade Account Application

Please complete all of the fields marked * below to register your trade account with Premier Inc.

Trading / Invoice Address

Please enter the company name
Please provide company contact number
Please enter first line of company address
Please enter valid second line of address
Please enter valid city name
Please enter valid postcode

Company Information

Please enter your company registration number
Please enter your company VAT number
Please enter your company EORI number
Please tell us what type of business this is
Please enter how many years business opened

Operations Contact

Please enter operations contact name
Please enter position held with company
Enter email address for operations

Finance Contact

Please enter finance contact name
Please enter position held with company

Director 1.

Please enter the company director's name
Please enter first line of address
Please enter valid second line of address
Please enter valid city name
Please enter valid postcode

Director 2.

Please enter second company director's name
Please enter first line of address
Please enter valid second line of address
Please enter valid city name
Please enter valid postcode
Please select credit limit required