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Trade Policies
Become a Stockist
Become a Stockist
Registration Form
To Become a Stockist, simply complete the below form: (* denotes mandatory field)
Retailer Type *
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Pharmacy
Health Store
Health Clinic
Gym
Veterinarian
Other
Store Name/Group Name
Billing Address:
Contact Details
Delivery Address, where different from the billing address:
Are you VAT registered? *
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Yes
No
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):
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