Account Application Form

Request to open a new account

If you wish to open an account with Palmer and Harvey, please submit your details to us by completing the form below. A representative will make contact with you within 5 working days to arrange an appointment to complete a 'New Account Application'

Request for a 'New Account Application Form'

Please enter your details below

First name*	Company Address*
Last name*	Town / City*
Company Name*	Postcode*
Company Registered Number	County
Type of Business
Business Telephone number*	Mobile Phone Number*
Email address*	How did you hear about us?

Products you are interested in Non-TobaccoTobaccoChilled FrozenAlcoholPlus Extra Plus News
If you previously traded with us - Which branch? and what was your account number? New Customer


Where do you currently buy from?
Are you currently a member of a symbol group?
Total 'WEEKLY' anticipated spend with P&H*



*Required

Bribery Act public statement

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(1) Please note that any telephone calls made or received by any member of the P & H group may be recorded for quality control and training purposes and in order to establish facts in relation to any transaction conducted over the telephone during the call.

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