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We want to make account application as easy as possible - but we do need to check your business bona fides!
We'll set up your trade account as soon as we get your completed form back - make sure you give us the correct contact details in case we need to get back to you with any questions.
To set up an account, please download and complete our Account Application form. If you have any questions about the application form, please do not hesitate to reach out to us - we're here to help!
Please read the following before completing this form:
• This form should be fully completed electronically or in BLOCK CAPITALS. Please mark any fields that are not applicable to your organisation as NOT APPLICABLE.
• Section 5: Declaration must be signed and dated by the authorised personnel for the company.
• Please return this form along with supporting documents back to HealthKind by emailing it to email@example.com.
Scans of this form and supporting documents must be clear & legible. If you do not have access to a scanner, there are a number of mobile phone PDF scanning apps available for download.
• Any fields not completed, and lack of supporting documents will result in the delay on qualification of your account.