logo

Registration and Order Form

Please complete all requested fields. Your order can only be processed when Roman characters from the Western European keyboards are entered. We will use this to create a Customer Account for you with Nikken. By providing your details you hereby confirm acceptance of our Terms and Conditions.

Once you have registered you will receive your own ID number. Each time you order, you must provide your Customer ID number and Name. We will not store your credit card information, other than for processing the order at the time of submitting your order request. For full details of our Privacy Policy, see here














Delivery address (if different from invoice address)









If you are in contact with an Independent Nikken Consultant, please enter their details below:






If you are not in contact with an Independent Nikken Consultant or we cannot identify the Consultant entered above, we will allocate you one of our active Independent Consultants to support you as a Customer.




Item Code Description Qty Value
1

2

3

4

5

6

7

8

9

10


Please refer to the price list for pricing. Those ordering inside the EU should refer to the VAT inclusive pricing which will be charged at 19%. All countries outside the EU will be charged exclusive of VAT, which will be charged locally on importing of products.

Please enter all details so that your order can be processed without delay.


















Imprint