Become a Stockist

Step 1 of 3 - Your Information

Name

This field is for validation purposes and should be left unchanged.

Your Information

Your first name(Required)

Your last name(Required)

Phone Number(Required)

Email(Required)

Business Name(Required)

Company Number(Required)

Company Type(Required)

VAT Number

Business Address(Required)

Different delivery address?

Yes

Delivery Address(Required)

Trade Information

Trade Reference 1 Name

Delivery Address(Required)

How long Trading with

Position

Would you like to add another Trade Reference?

Yes

Trade Reference 2 Name

Delivery Address(Required)

Position

How long Trading with

Terms and Conditions

Payment is due within 15 days of delivery
Bank Account: Lloyds Bank
CH & D Lamplugh T/AS Forthay Granola or CH & D Lamplugh
Sort Code: 30-91-79
Account No: 62455560

A copy of this form and these details will be emailed to you after submission.

CAPTCHA

Handmade

Gluten Free

100% Natural

No Additives

No Refined Sugar