Retail Application Form

Primary Contact Details

We will use these details to contact you once we have reviewed your application. Your details will not be shared with any third parties.

Your Name*

First Last

Job Title or Role*

Phone*

Mobile

Email*

Other Details

Supply any other relevant contact details

About Your Business

Tell us about your business.

Business or Group Name*

Provide the legal entity name of your business

Trading As

The business trading name, if different from the Business or Group Name

Company Number*

Company number or Group Company number as shown at Companies House

Sector*

Website*

Number of retail outlets?*

How many physical retail outlets does your business or group operate?

Average retail footfall per outlet per month?*

Location*

Which locations is your business represented? Ctrl-Click to select multiple locations.

Hidden

Estimated Number of Helmet Drop-Offs?

Best estimate of the total monthly average of helmets you expect to process across all outlets.

Service Promotion*

How do you intend to promote the service to your customers? Ctrl-Click to select multiple items

In Store Promotion

In-Store Promotion

What in-store service promotion can your store(s) accommodate? Ctrl-Click to select multiple items

Other

Your Social Media Channels

Tell us where we can find you on socials

Facebook Company Page

Facebook Group Page

YouTube Channel

Instagram

LinkedIn Company Page

Twitter

Your Mailing List

No. of Subscribers

How many mailing list subscribers do you have?

Which Benefits Are You Interested In?*

Ctrl-Click to select more than one benefit.

Other

Tell us about any other benefits you perceive our service will provide you and our customers?

Date

The earliest date you wish to commence offering our service?

Name

This field is for validation purposes and should be left unchanged.