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Register as a new customer

Please fill out all fields marked with ***.
Once you have registered yourself and your password you can then add your delivery addresses and payment details. We try to keep all of our forms to a minimum to make registering as simple as possible.

Enter your details

Your name
Title
Forename ***
Surname ***
Your account username and password
e-mail address ***
This will be your username as well
Confirm e-mail address ***
Password Must be at least 6 characters ***
Confirm Password Type your password again ***
Important: Your contact details
Contact Telephone No ***
We need your phone number so that we can contact you
immediately if we have any problems with your order
Mobile No
Your address
Company Name
see below for trade status application
Address ***
 
 
Town / City ***
County / Region
Postcode: ***
Country ***
If your country is not listed then please contact us for delivery details
Other Information
How did you hear about us?
e.g. Google search, link, referral, returning customer
Cocoa Mountain Account Number (if you have used Cocoa Mountain before)
 
Remove this tick if you would not like to receive periodic emails from Cocoa Mountain about special offers and new products and are happy to pay full price. You will never get unsolicited email from Cocoa Mountain.
 
Orderline: +44(0)1971 511233info@cocoamountain.co.ukCocoa Mountain Home PageNewsReviewsLinksCocoa Mountain on Facebook FacebookCocoa Mountain on Twitter Twitter
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