Create an Account

If you are an Alpha Dot customer but don't have an online account, you can create one here, or contact us and we will create one for you

Your Details

First Name: (required field)

Surname: (required field)

Email Address: (required field)

Address: (required field)

Address 2:

City: (required field)

County:

Postcode: (required field)

Contact Telephone Number: (required field)

Alternative Phone Number:

Username: (required field)

Password: (required field) must contain 6 to 20 characters