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Credit Application Form

How to become a PureTech trade account holder

It couldn't be easier to become a PureTech trade account holder.

But please note, this form is for TRADE CUSTOMERS ONLY.

Simply fill out the form below and a member of our team will contact you by the following working day. Once your application has been approved, we'll then send you a confirmation email containing your website log-in details.

Why you should join

  • Exclusive deals, discounts and offers for members
  • Best advice from your dedicated account manager
  • Priority technical support from our experienced team
  • Competitively priced products with no compromise on quality
  • Huge range of products in stock and ready for next day delivery

Customer Details

Registered Office (if different from above)

Type of Company

Company Information

Trade References

Details of Directors/Partners/Sole Proprietor