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0845 230 4411

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  • Delivery Information
  • Order Summary
  • Payment Details
  • Order Confirmation

Trade Customer Registration

PLEASE NOTE: We only supply to healthcare professionals, we shall only process your transaction once we have verified that you are bonafide trade customer.

As a first-time customer on our site we need to take some of your details. You will only need to fill in this page once, then on future visits to the site you will be able to log in with your email address and password. Whilst this means storing this information for your future convenience we will never release customer details or email addresses to any third party. Please note that we do not store your credit card information.

Business Name:
DLT Customer Number:
(If you are an existing DLT customer)
Are you registered with HPC? Yes   No
HPC Registration Number:
(If Known)
If No please state job title:
Do you mainly work with... Surgery   Domiciliary
  BILLING DETAILS
First Name:
Last Name:
Email:
Password:
Confirm Password:
Address 1:
Address 2:
Address 3:
Postal Code:
Country:
Phone Number:
Tick this box if the delivery address
is the same as the card holder address
  DELIVERY DETAILS
First Name:
Last Name:
Address 1:
Address 2:
Address 3:
Postal Code:
Country:
Phone Number: