Register

Please complete the registration form below. Required fields are indicated with an asterisk.

Type of Registration

Would you like to Register and add a Shop with Adverts:	*
Would you like to Register and add Private Adverts:	*
Would you like to just Register:	*	FREE

New Shop Registration

Please enter the Shop Name you would like to use and upload a Logo for displaying on the home page and default banner. Your Logo will be automatically resized.

Shop Name:	*
Company Number:
Are You VAT Registered?	*
VAT Number:
Logo:
Website Address:
Description:

Private Product

Add additional credits to your credit balance for future private products advertising:
To advertise private products online for weeks you will need 4 week credits.
12 weeks credits for £1.00 52 weeks credits for £3.00
You have selected to buy 0 week credits.
To buy selected credits you need to pay: £0.00.

Discount

If you have been given a Discount Code, please enter it here to receive a 10% discount on all amounts payable to ShopsInMalls for 12 months from the date of your registration.

Referral User Discount Code:

Period Selection

Please select the number of product/service adverts you require.

Setup Fee:		Free

Please select number of products:	*	10 products 100 products 200 products

Please select period and price:	*

Your Billing Details

Title:
First Name:	*
Surname:	*
Company Name:
Address:	*


Town:	*
Postcode/Zip:	*
Country:	*
County/State:	*
Telephone:
Mobile:
Email:	*
Fax:

Your shop address is the same as your billing address: Yes No

Your delivery address is the same as your billing address: Yes No

Your Shop Address Details

Title:
First Name:	*
Surname:	*
Company Name:
Address:	*


Town:	*
Postcode/Zip:	*
Country:	*
County/State:	*
Telephone:
Mobile:
Email:	*
Fax:

Your Delivery Details

Name:	*
Company Name:
Address 1:	*


Town:	*
Postcode/Zip:	*
Country:	*
County/State:	*

Your Login Details

User Name:	*
Password:	*
Repeat Password:	*

How did you hear about us:	*
Terms & Conditions:	*	I/We confirm that I/we have read and accept the Terms & Conditions. We will never ask for your password, your card information or ask you to logon to verify your password in an email. Always ensure you are on the www.ShopsInMalls.co.uk website before you enter your logon details.
Future Contact:		Tick here if you would like to receive occasional emails from ShopsInMalls regarding news, events and special offers. You will be able to unsubscribe from this service at any time.
		We will never pass your details on to third parties without your explicit permission. We would like to send you information from carefully selected suppliers that we believe will be relevant to you. Please tick the box if you would like to take advantage of this service. You will be able to unsubscribe from this service at any time.
Security Code:	*	Change Image
		Please enter the characters shown in the graphic above:

To complete your registration please click the Register button below. Your details will be automatically added to the database. After registration you will be able to manage your details and have access to additional functions.