Selling our products

Becoming a full cashplus retailer offers you our highest commission rate

Full retailer registration form

* = mandatory fields

First name:*

Last name:*

Title/Function in organisation:

Company name:*

Company address 1:*

Company address 2:*

Postcode:*

Phone:*

Mobile:

Email:*

Web:

Company number as registered at Companies House:*

Your FSA registration or MSB number:

Are you part of a franchise?:

Yes No

Which one?:

Are you part of a branch network?:

Yes No

Which one?:

How many locations?:

Do you have broadband internet access in store?:

Yes No

Describe your core business:

Describe your existing customer base
(provide information such as social economic grouping, average spend per transaction):

Further comments:

Selling our products

Full retailer registration form

First name:*

Last name:*

Title/Function in organisation:

Company name:*

Company address 1:*

Company address 2:*

Postcode:*

Phone:*

Mobile:

Email:*

Web:

Company number as registered at Companies House:*

Your FSA registration or MSB number:

Are you part of a franchise?:

Are you part of a branch network?:

How many locations?:

Do you have broadband internet access in store?:

Describe your core business:

Describe your existing customer base (provide information such as social economic grouping, average spend per transaction):

Further comments:

Partners

Describe your existing customer base
(provide information such as social economic grouping, average spend per transaction):