Retailers and Wholesalers

Account application

Step 1 – Your Details

Please fill in the form below for your account application.

Details

Name Last name

Mobile Number* Telephone number

Delivery Address* Invoice Address

Trading Name Email

Company Type
Limited companySole TraderPartnershipCharity Organisation

For Limited Company only

Company Registration No Director Name

Step 2 – Bank Details

I hereby agree to the terms and conditions and authorise Freshways to setup the Direct Debit

Step 3 – Consent and Id Upload

Upload ID (Jpg or PDF):

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