Direct Payment Application Form

Direct Payment Account Application

Company Details:

Complete the relevant blocks below dependent on the type of business selected above:

Physical Address / Business Address

Postal Address (If not the same as the above)

Delivery Address (if different from Physical / Business Address)

Contact Details

Terms & Conditions:

  1. ONLY EFT payments accepted.
  2. Once your account application has been approved, you will received a letter with your account details, our Delivery Charges Document (Please see minimum order value for free delivery) and the Reitzer Healthcare Price List.
  3. You will receive a 12.5% discount off invoice on the price list price (excl Vat.)
  4. The minimum order value means the total value of the order after discount and excluding VAT.
  5. No discount is applicable for Reitzer Aqueous Cream and Distilled Water as these products are sold according to a sliding scale. (Please request sliding scale price lists if you are interested in purchasing these products)
  6. Deliveries take place between 5 and 7 business days.
  7. We will only process the order once the money has been cleared in our bank account provided we have the relevant Stock on Hand. We will keep you up to date.

By submitting this application, you agree that all the information and details filled in are true and correct.

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