Panagora

Purchasing preference

Date: 15/04/2026

Are you interested in purchasing*

Dog Food Only

Grocery Products

Product Category Request*

FRAIS – Fruits & Légumes

FRAIS – Salades & Charcuterie de Volaille

FRAIS – Viande

FRAIS – Volaille

FRAIS – Yaourt, Beurre & Fromages

SECS – Epicerie, Snacking, Boissons

SURGELÉS - Mer, Viande, Volailles, Légumes, Desserts

VEG

Business and Registration Information

First Name*

Last Name*

NIC*

Copy of NIC

Shop Name*

BRN certificate

BRN Exempted Bodies (Government & Welfare Entities)

Business Legal Name

BRN Number*

Format: png, jpg, jpeg, pdf*

BRN Certificate

VAT certificate

Click if client is not vat registered (e.g government bodies,welfare entities)

Are you VAT registered?*

Yes

No

VAT Registration Number*

Format: png, jpg, jpeg, pdf*

VAT Certificate

Customer Specifications

Business Type / Type of Activity*

Business Opening Time(s)*

Fixed opening and closing hours( can be changed below for specific days).

Opening time

Business Opening Time(s)*

Monday

Opening time

Tuesday

Opening time

Wednesday

Opening time

Between

And

Thursday

Opening time

Between

And

Friday

Opening time

Between

And

Saturday

Opening time

Between

And

Sunday

Opening time

Between

And

Delivery Information

Delivery Address

Street*

City*

Country*

Preferred delivery slot 1*

Between

And

Business Contact Information

Phone No.* Fill at least 1 of these 2 phone number field

Mobile No.* Fill at least 1 of these 2 phone number field

Email address

Using details as Ordering Information*

Yes

No

Contact details for orders

First Name*

Last Name*

Phone No.* Fill at least 1 of these 2 phone number field

Mobile No.* Fill at least 1 of these 2 phone number field

Ordering Email Address*

Terms and conditions

Delivery Message

Comments

I have read and accept all the terms and conditions

Créez votre compte

Purchasing preference

Business and Registration Information

BRN certificate

VAT certificate

Customer Specifications

Opening time

Opening time

Opening time

Opening time

Opening time

Opening time

Opening time

Opening time

Delivery Information

Delivery Address

Preferred delivery slot 1*

Preferred delivery slot 2

Business Contact Information

Contact details for orders

Terms and conditions