Account Application Form |

Please complete the following form to start an Account with us.

Bold fields are required.

Company Details

Company Details

Please enter your company name and address as they are listed for your debit card, credit card, or bank account.

Company Name:

Address:

Post Code:

Telephone:

Fax:

Information

Company Details

Please enter your company name and address as they are listed for your debit card, credit card, or bank account.

Company Type:

Vat Reg No:

No. of employees:

Nature of Business:

Directors

Information

Please give personal details for Individuals, Sole Traders and Company Directors.

Full Name:

Address:

Date of Birth:

Full Name:

Address:

Date of Birth:

Other Detail

Other Detail

Please enter a relevant Shipping Contact and Finance Manager.

Shipping Contact:

Finance Manager:

Bankers Details

Bankers Details

Please complete with the relevant Bank Name and Address details.

Bank Name:

Address:

Post Code:

Telephone:

Fax:

Sort Code:

Account No:

Trade References

Trade References

Please enter two Trade References you wish to use.

Name:

Address:

Telephone:

Fax:

Name:

Address :

Telephone:

Fax:

Further Information

Please complete this mandatory information fully.

Anticipated Monthly Spend:

Credit Limit Requested:

Accounts Payable Contact:

Confirm Email

Please confirm your email address, for receipt of account application.

Email:

Confirm Email:

Disclaimer We accept CCL's payment terms of strictly 30 days from month of invoice, and accept that CCL will invoice weekly, and understand that the final weeks invoice of each month may be received up to 7 days into the following month, to allow for the capturing of POD's, this will not delay payment to CCL.

We understand that all goods are moved in accordance with CCL's standard terms and conditions.