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	New Online Customer
	If you'd like to shop online then you will need to register. Please enter your details below

Existing Customer

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Your Details

Registering with Ultralife will allow you to buy products from our website quickly and securely. Simply fill in the form below with your details, and click on 'Register'. Ultralife will not pass on your details to any third parties without your prior consent.

* Please note that these areas with an * are mandatory.

Personal Info

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First Name: *

Last Name: *

Telephone: *

Email: *

Confirm Email: *

If you are ordering in response to an Advertisement,
please select the appropriate publication:

Mobile:

Fax:

Date of Birth:

Home Address

Address: *

Town: *

County: *

Postcode: *

Registered Shipping Address

- UK Only

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Address: *

Town:

County: *

Postcode: *

Ultralife 6-Digit Passcode & Security Word Set up


Choose 6-Digit Passcode:		(6 Numbers; e.g. Your Date of Birth)
Used for logging in to this website on future visits.

Choose Security Word:		(8 to 15 Characters e.g. Mother's Maiden Name)
Used for additional protection to ensure that only you can amend any of your registered details. This needs to be 8 or more Characters, which can be a combination of letters and numbers

IMPORTANT NOTE: Please ensure that you remember the entries you make above, and take measures to prevent anyone else discovering them. You will be able to change these at any time when you log in to this website.