Registration Your Username: * Name (Account Holder)* Business Name (trading as)* Business Address * * County* Select ... Antrim Armagh Carlow Cavan Clare Cork Derry Donegal Down Dublin Fermanagh Galway Kerry Kildare Kilkenny Laois Leitrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Tyrone Waterford Westmeath Wexford Telephone Mobile* Email address * I would like to receive marketing updates (e.g. latest offers) from ALTOMI Group Ltd Please confirm your business type* Select ... Independent Grocer Newsagent Symbol Convenience Store Off-licence Other Retailer Restaurant Fast Food / Takeaway Nursing Home Club Guesthouse / B&B Public House Coffee Shop / Deli Hospital Contract Event or Workplace Caterer Hotel School / Religious Institution Wholesaler Other Business or Charity Are you VAT registered? * Select ... Yes No If yes, what is your number? Would you like to talk to a ALTOMI Group representative ? I have read and noted the terms and conditions in relation to obtaining a ALTOMI Group account and I declare the details furnished by me are true * Confirm Email: * Terms And Conditions*
