1. Boots Contact Email Address Please fill in the following Boots Contact Email Address field. This is an email address of a Boots contact that the forms will be submitted to once completed. Email Address Next 2. Supplier & Customer Account Form AGREEMENT between BOOTS UK LTD. ("Boots") of Nottingham NG2 3AA and: Registered Company Name and Number of Registered Address The Supplier gives the following information and agrees with Boots as follows: Supplier's remittance address (to which invoices will be paid) Name Address VAT No. Telephone No. Fax No. * Please ensure your company VAT number is added Address orders should be forwarded to if different from remittance address Address Telephone No. Fax No. Address sales invoices should be forwarded to if different from remittance address Address Telephone No. Fax No. Designated email address for finance documentation e.g. remittances Email Address Designated email address for sales invoices Email Address Designated email address for all orders Email Address Designated email address for GRA's Email Address Designated email address for Debit Notes Email Address Vendor settlement terms Discount 2.5% Standard Period EOM 75 days Customer settlement terms Supplier Funding Immediate (Standard) Other Charges Immediate (Standard) Address to which Returns should be sent (if applicable) Address Contact Telephone No. Account Type Please state if you already trade with any other Alliance Boots Group company: Boots UK Boots ROI Boots Opticans Boots Contract Manufacturing Alliance Healthcare Distribution Other Supplier Contact details for Boots Collect Service Contact Tel No. Position Email Address All purchase orders placed by Boots on the Supplier will be subject to, and governed by, the Supplier Manual (www.boots.uk.com/suppliers/) Please sign and date this form below to confirm that you have read, understood and will comply with all sections of the Supplier Manual. On behalf of Supplier Name Position Signature Date 21/10/2026 On behalf of Boots Name Position Signature Date For office use only Please state which account is being applied for: Boots UK Boots.com Boots Opticians Domestic CMI - FOB ABS Account No. Please send a hard copy of this completed form to your contact at Boots UK Limited, 1 Thane Road, Nottingham NG90 1BS Back Next 3. Supplier EDI Form Please complete the following details Supplier No. (Boots office use only) Supplier Name Contact Name Contact Fax No. Contact Tel No. Contact Email EDI Capable for Orders Yes No EDI Capable for Invoices Yes No If you do not have EDI capability, you will cbe contacted by the EDI team to convert to EDI ordering and invoicing immediately. If you have confirmed that you do have EDI capability, please supply the following information: Which EDI standard do you use? EANCOM TRADACOM Other ANA No. Currency to trade in TUN No. Any other information: Any other information For EDI enquires, contact the EDI Team: edi.team@boots.co.uk. Please send a hard copy of this completed form to your contact at Boots UK Limited, 1 Thane Road, Nottingham NG90 1BS Back Next 4. Supplier Banking Form To: The Financial Director From: Boots UK Limited Purchase Accounting D90 East S10 Thane Road Nottingham England NG90 1BS Please complete the following information required for payment of you invoices. Special attention must be made to areas marked with a maximum number of characters (This number includes spaces and punctation marks). PLEASE NOTE : For security reasons we require separate verification of your company’s bank details. Please also confirm these on your company headed paper signed by someone other than the person who has signed this form. Company Name (max 35 char) Company Address (max 70 char) Country (max 35 char) Telephone Number Fax Number Method of Payment: Please tick the relevant box BACS TelegraphicTransfer Currency of Invoices: Please tick the relevant box or specify 'Other' GBP USD EUR Other Banking Information - All areas must be completed Bank Name (max 35 char) Bank Branch Title (max 35 char) Town/State (max 35 char) Country (max 35 char) Account Number (max 34 char) SWIFT or B.I.C. Code (min 8 char - max 11 char) IBAN Ref Name Company Position Signature Date 21/10/2026 Email Address Back Next 5. Print the document If you filled in all the fields you can generate your document here (if not, please go back and fill in the missing fields). Please print the whole form, sign in Section 1 & Section 3 and then attach a scanned copy in the next step. Generate your document Back Next 6. Upload the signed document Please attach the scanned copy of your document along with the bank details on company headed paper with a signature different to that in the manual. Please also make sure the manual has been signed prior to uploading & submitting. Document Upload Back Submit
