Account Application

Account application

the information on this form will be treated in strict confidence

Customer Information

Registered business name

Trading title

Business Type

Email address

Telephone No

Mobile No

Fax No

Address line 1

Address line 2

City

County

Country

Postcode

Social Media Addresses

Date of commencement of business

VAT Registration Number

Directors, Proprietors or Principal Name(s)

No. Of employees, including principals

Do you operate*

Throughout the year

Seasonally

How did you hear about us?

Trade Fair

Trade Magazine

Battles Business Development Management

Online Search

Word of Mouth

Other

Marketing News & Offers

Email address

I agree to be contacted from battles and their brands

Account Requirements

Please indicate a suitable credit limit*

Business Type

Section 1

Are you a retailer / feed merchant / both?

Yes

Do you have shop premises?

Do you trade from your home address?

Do you trade as 'online only'? i.e. website or via online marketplace.

Are you a member of any national trade association?

Are you a member of the Animal Health Distributors Association?

Veterinary / Pharmaceutical Retailers or Merchants

Section 2

Premises Identification Number

Address Line 1

Address Line 2

City

County

Country

Postcode

Is your premises on the VMD (Veterinary Medicines Directorate) Register of Approved Retailers Premises?

Yes

Are you a Retailer / Stud / Riding School / Livery Yard?

Trade Reference 1

Full Name

Address Line 1

Address Line 2

City

County

Country

Postcode

Telephone No

Email address

Trade Reference 2

Full Name

Address Line 1

Address Line 2

City

County

Country

Postcode

Telephone No

Email address

For more information on how we handle and process data, read our Privacy Notice