Login - Pelican Wholesale

Application Form

* Please do not use special characters, foreign characters, or symbols. Please note, fields marked with red * asterix are required fields.

Contact

Enter your contact information.

If your email address already exists on our system we can stop here.

Email address *

Password *

First name *

Last name *

Phone*

Company address

Please enter your full address.

We strongly recommend entering a registered business address and not residential as your application is unlikely to be successful otherwise.

Street Name / Number*

Address Line 2

City*

State / County

Postcode*

Country *Country is a required field.

Business type and Business details

Please select your business type. For example, if your business is pharmacy, select pharmacy.

User Type *

Company Name *

Company Registration No *

VAT No

Name of Director(s) /* minimum 5 letters *

Trading Activity *

Enter length of time you are trading, years / months *

Trade References (2x references): Include Company names, emails. Please note, providing incorrect information may lead to account opening delays! *

Your personal data will be used to support your experience throughout this website, to manage access to your account, and for other purposes described in our privacy policy.

Declaration

A minimum order quantity of £1500 ex vat, layers and pallets only. We do not except test orders.

I / We hereby declare that the information provided is complete, accurate and true and agree to the Pelican Wholesale Ltd Conditions of Sale/Purchase.
I/ We hereby give consent, to Pelican Wholesale Ltd to process any personal data provided in the Account Application Form and agree that Pelican Wholesale Ltd may use this data in a manner deemed appropriate to administer this account. This may include the exchange of information with credit agencies and other parties for the purpose of opening and monitoring the account and responding to requests for references from third parties.
By ticking the box below and by submiting this Application form I / We acknowledge the receipt and agree to abide by the Terms and Conditions of trading as provided by Pelican Wholesale.

I hereby aknowledge and agree with the above declaration. I’ve read and accept the terms & conditions *