You can request a new user account by completing the request form below. Please note that this form is only for existing EUROX customers. If you are not an existing EUROX customer please click here 

  • Please fully complete the form providing complete details about you, the person making the request and the individual who needs new ELEVATE user account credentials.

  • The sections marked with a star * must be completed, even if you are both the person making the application, and the proposed new user account holder.

  • If the new user account holder is required to order for multiple locations please indicate this in the comments section. 

    Most often, due to security considerations, an ELEVATE user account must be associated with an email address issued by your employer or the primary account holder.

The use of a personal email address is permitted in some instances, however we may need to obtain further information from either you, your head office or primary account holder proir to issuing new credentials. In these circumstances we will contact you to advise of the next steps.

This form is Protected by reCAPTCHA, Privacy Policy & Terms of Service apply. For security reasons your IP address will be recorded upon submission.

By clicking submit, I confirm that I am authorized to make this request, and that any orders placed by the requested user after they are created, will be charged to the primary account as detailed on the order              confirmation screen.