All you need to do is complete the form below to register. Once the form has been completed you will receive an email confirming receipt of your details. Personal Details: Title * Mr Miss Mrs Ms Name * Account Info: John Nicholls Account Number* Company Name* Position within the company* Contact Number 1* Mobile Number (If different) House No. or Name* Address Line 1* Address Line 2 Address Line 3 Postcode* Loyalty Account Details: Email Address* Re-type Email Address* Please note your email address will be your username for your online rewards account and where you will receive any scheme updates. Password* Re-type Password* Additional Information: Which one of the following best describes your business?* Please selectGeneral BuilderPlastererDeveloper/House BuilderCarpenterGround WorkerBuilding ContractorBrick LayerLandscaperRooferBathroom Fitter/InstallerHeating EngineerPlumberPlumbing ContractorSelf-BuilderShop FitterKitchen FitterTilerArchitect/QSInterior DesignerMaintenanceConservatory/Window FittersDIYElectricianPainter & DecoratorCaravan/leisure homes/Portable AccomCare HomeCorporate Customer (local company)School/educationalFarming/AgricultureHousing Assoc/Local facilityOther If other, please state What is your estimated total spend per annum on Building and Plumbing Supplies? (with all merchants) What are your hobbies and interests? Football Cricket Horse Racing Fishing Shooting Travel - UK Other Rugby Golf Motor Sports Boxing Eating out Travel – Abroad If other, please state Do you use any of the following social media platforms? Facebook Instagram Houzz Google+ Do not use Twitter Pinterest LinkedIn Other How do you plan to spend your reward vouchers? John Nicholls credit note Holiday in the UK Restaurants Holiday abroad High street shopping Attractions (theme parks, experience days etc.) Please state any other merchants you currently buy from: What is the most important reason for buying elsewhere? How did you hear about the loyalty scheme? I confirm I am 18 years of age or over.* I opt-in to receiving John Nicholls marketing updates and promotions via email. I opt-in to receiving John Nicholls marketing updates and promotions via SMS. I accept the John Nicholls Rewards Scheme Terms and Conditions.* All fields marked with a * are mandatory, and must be completed to ensure your registration is successful.