User Online Registration

Welcome to Five Element Distribution Ltd.

To access our Trade Only website we will require some details about your business.

Please complete the form below to register as a 'Buyer' and obtain a Login.

This website is strictly TRADE ONLY. Please register only if you are buying stock for resale. Thank you.

By completing and returning this form you automatically accept our terms and conditions of trade.

Your First Name :
Your Surname :
Your Company Name :
Business Type :	Please Select >> Limited PLC Sole Trader Other
Your Telephone Number :
Your Email Address :
Your Email Address again, to confirm :
Delivery Address :
Delivery Postcode :
Tick if this address is outside the UK
How will you sell our goods? : (Please select at least one option)	Retail Shop  Online Store  Trade Fairs  Market Trader  Amazon  Ebay  Wholesaler  Other
Your Company Website Address : (Please include the http://.... or https://....)
Your Company Registration Number :
Your Company VAT Number :
How did you find us? :	Please Select >> Google Other Search Engine Twitter Received Email Informed by a Colleague Told about Website by a friend Linked here from another Website Other
Please re-type the four verification characters into the box below. [why ?]

Please note that all registrations are moderated by the Five Element Distribution Webmaster.