New Account Form

To open an account with us please fill in the new account form below.
Once you are finished, simply click on the ‘Submit’ button & it will come straight to us. We will inform you once your account is open & ready for you to place your first order!
Please fill in all fields marked with ‘*’, if not applicable please mark n/a

Contact Name*
Contact Email*
Company Name*
Type of Business*
Address Line 1
Address Line 2
Invoice Address (if different)
City*
ZIP / Postal Code*
Country*
Telephone Number*
Fax Number
Website*
Registered Company Number*
VAT Number*
Number of years trading*
Purchasing Contact*
Purchasing Email Address*
Purchasing Telephone Number*
Accounts Contact*
Accounts Email Address*
Accounts Telephone Number*
Amount of credit required*
Are you a member of a trade association*
Trade Reference 1
Trade Reference 2
Additional Information or Message
*
- As per our terms and conditions, which can be found in our most up to date Trade Price List, you agree to only sell goods purchased from The DRH Collection through sales channels owned by yourself. Neither resale or selling through a third party channel is permitted.
*
- By using this form you agree with the storage and handling of your data by this website as stated in the privacy policy.