ProHerb Ltd - B2B login Request Form

It's been in the works for a while, and Now, ProHerb has online ordering for our account holders!
If you hold an account, and would like to be able to place orders online via our web-store, please complete the form below, and we will issue a login invitation linked to your account.

Upgrade Your Account - B2B Portal Access

* Indicates required field

YOUR ACCOUNT NAME: *

Account Holder Details:

Account Holder First Name *

Account Holder Last Name *

Account Email *

Conditions of Supply:

All order’s placed via the Online-Ordering Portal will have the approval of the primary account holder, and shall not be placed by patients, or non-account holders.
Freight charges will be applied as per our policies.
Some products may not be visible online. Please consult your Practitioner Consultant to review your purchasing permissions.
ProHerb reserves the right to revoke any access to the Online-Ordering Portal.

Your Declaration:

BY SUBMITTING THIS FORM, I CONFIRM THAT AS THE PRESCRIBING PRACTITIONER,

I AGREE TO THE PROHERB POLICIES, TERMS & CONDITIONS, AND CAN CONFIRM THAT THE INFORMATION SUPPLIED IS ACCURATE & TRUE *

I AGREE TO THE SUPPLY TERMS

Send me my Login!!

B2B Online POrtal​Request a Login

ProHerb Ltd - B2B login Request Form

Upgrade Your Account - B2B Portal Access

Account Holder Details:

Conditions of Supply:

Your Declaration:

B2B Online POrtal
Request a Login