Create Your NLSU Account

New Account

Addresses

* = required field

Legal Entity

Legal Entity name *

Address Line 1 *

Address Line 2

Address Line 3

City *

Post Code *

Company Phone *

Company Fax

VAT Registration Number

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

Contact Information

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

Your Information

Applicant Information

Your Name *

Your Phone Number *

Your Email *

Please tick the box to receive information about our products and services, along with exclusive offers and promotions tailored for you. 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.

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.