Prepaid Account Application Form

Prepaid Account Application

Company Details:

Physical Address / Business Address

Postal Address (If not the same as the above)

Delivery Address (if different from Physical / Business Address)

Contact Details

* Means Required

Terms & Conditions:

  1. ONLY EFT payments accepted.
  2. Once your account application has been approved, you will receive an email with your account details, our Delivery Charges Document (Please see minimum order value for free delivery) and the Reitzer Healthcare Price List.
  3. The minimum order value means the total value of the order after discount (if any) and excluding VAT.
  4. Deliveries take place within 5 to 7 business days from receipt of payment and is dependent on availability of stock.

Click on the link below to read our Terms & Conditions.

By submitting this application, you agree that all the information and details filled in are true and correct. I/We undertake to notify Reitzer Healthcare in writing of any changes made to the information provided.