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REACH
SIG Safety and Workwear
Customer Registration
Please fill in the registration form below
Please note, all fields marked with an
*
are mandatory.
Date
*
Company Name
*
No. of Employees
*
Post Code
*
Buying Contact
*
Health & Safety Contact
*
E-mail Address
*
How much do you spend on PPE?
*
per Month
per Year
Less than £500
Less than £5,000
£500 - £1,000
£5,000 - £10,000
£1,000 - £3,000
£10,000 - £20,000
£3,000 - £5,000
£20,000 - £100,000
£5,000 - £10,000
£100,000+
Who do you use presently?
*
Kind of Business / Industry Type
*
Food
Construction
Engineering
Agricultural
Asbestos
Transport
Environmental
Distribution
Chemical
Other
(please state)
Manufacturing
Area
*
North West
Yorkshire & North East
West London & South Coast
East London & South East
East Midlands & East
West Midlands & West
Scotland
Ireland
How did you hear about us?
*
Catalogue
Web
Word Of Mouth
Other
(please state)
