Apply to open retailer account

    Business Information


    Address:

    Invoice Address: Delivery Address:



    Ownership Type
     


    Opening Hours

    Open (AM) Close (PM)
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
    Sunday

    Orders Contact



    Accounts Contact



    Please provide contact details to receive the following documents (if left blank these will default to your orders contact):

    Statements


    Invoices


    Order Acknowledgements


    General Communication

    (Marketing, Price Lists and Special Discounts)

    Retailer Portal Logins

    For online ordering, order history, account status and more, please advise who within your company you would like to set up

    Main Login (has access to all areas of the Portal)



    Standard Login (has access to all areas, excluding financial information such as invoices, statements, credit)

    Login 1


    Login 2


    Trade References

    Please give details of two companies that you deal with on a credit basis

    Company 1 Company 2

    Stovax terms & conditions.
    Gazco terms & conditions.
    Privacy Policy.