Apply For a Business Account

How to create a customer account

Are you a new customer to Fisher Scientific? Are you ready to place your first order?
All requests for new account creation must be accompanied by an electronic copy of your first order. Please enter your order number and attach the document below.
Due to regulations and compliance restrictions, we are unable to process applications for individuals.

Fields marked with (*) are mandatory

Enter PO number *

Attach PO scan *
File can not be greater than 10MB in size and can only have one of the following file extensions: pdf,doc,docx,xls,xlsx,gif,jpg,jpeg,gif,png,bmp

Legal Entity

Legal Entity name *

Address Line 1 *

Address Line 2 *

Address Line 3

City *

Post Code *

Company Phone *

Company Fax

VAT Registration Number

Is your company VAT exempt?

Yes No

Company Reg Number *

Invoice Address

Same as Legal Entity
New Address

Name *

Address Line 1 *

Address Line 2 *

Address Line 3

City

Post Code

Company Phone *

Company Fax

Delivery Address

Same as Legal Entity
Same as Invoice address
New Address

Name *

Address Line 1 *

Address Line 2 *

Address Line 3

City

Post Code

Company Phone *

Company Fax

Buyer Contact Information

Buyer First Name

Buyer Surname

Buyer Title

Buyer Phone Number

Buyer Email

Finance Contact Information

Finance Contact First Name

Finance Contact Surname

Finance Title

Finance Phone Number

Finance Email

Additional Information

Estimated Annual Spend

Are The Products Intended To Be Exported By You? *

Re-selling the products? *

Are you associated with any other company or group?

Yes No

Applicant Information

Your Name *

Your Phone Number *

Your Email *

Please confirm your acceptance of our terms and conditions.*
If you already have a separate written contract with Fisher Scientific, please note that the terms of that contract will take priority.

Accounts are subject to credit approval.
Orders may be subject to a minimum order charge.

Your confidentiality is important to us; All personal information that you provide will be used by us in accordance with our Privacy Policy and you will have the ability to opt out of receiving future marketing information from us at any time.

New Account Application