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Ambermed - Healthy & Wholesome lifestyle products
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  • Registration Form

    Become a Stockist


    Overview

    Ambermed Ltd. is the official distributor for each brand listed on our website, throughout the U.K. and Ireland. If you wish to become a stockist, please complete the following registration form.

                

            

     

    Once we have received this information we will send you a welcome pack containing all relevant information.
    If you have any questions, please do not hesitate to contact our Registration Team via the Contact Us page.


    Registration Form

    To Become a Stockist, simply complete the below form: (* denotes mandatory field)

      Retailer Type *
      Store Name/Group Name
      Billing Address:
      Contact Details
      Delivery Address, where different from the billing address:
      Are you VAT registered? *
      Where applicable, please attach a copy of your qualifications or studies here, in JPEG or PDF format (Students may attach a copy of their student ID):
      Registering with Ambermed means that you'll be sent e-newsletters full of useful product information and emails about education seminars and promotional offers. Please opt in to receive these emails by checking the box below.

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      Payment Methods
      Registered Address: Ambermed Ltd., The Mill Business Centre, Croom, Co. Limerick, Ireland.