Business Registration Form

Section 1 Your contact details
Business name*
Main contact*
Position
Additional contact
Position
Address:*
Postcode:*
Telephone*
Fax
Email: *
Website
   
Section 2 About your business
Business type
Retailer
Mail order
Online supplier
Real nappy agent
Laundry
Other - please specify
 
Services supplied
Nappuccinos
Demonstrations
Home visits
Advice line
Other - please specify
 
Geographical area served
– please specify
borough/s if known
Additional information
- eg existing links with RNfL,
promotions running or planned
   
 
Real nappy products supplied (if applicable) Brand Sizes Fabrics
All in one nappy
Shaped nappy
Birth to potty nappy
Terry nappy
Muslin nappy
Prefold nappy
Pocket nappy (stuffable)
Tie-up nappy
Other nappy - please specify
Wraps
Nappy gripper
Booster pads
Inserts
Liners
Ready made packs
– please specify contents
Other accessories
- please specify
       
Laundry services Please give details of available services
 
Client owned
nappies laundered
Yes No
       
Please provide any additional information here
   
Now please submit your form.