ACCOUNT APPLICATION

Please complete the form below ensuring that all relevant sections contain correct and up-to-date information. If you have any queries please contact 0845 023 0339 for assistance.

Please note that this form must be completed in full with all the correct information in each section as required, any form submitted with incorrect information i.e. single letter or number values will be rejected automatically and you will be required to complete the form again in full.

Please be aware that we do not accept trade references from Fuel / Tyre / Hire or Finance companies.

It is the responsibility of the applicant to follow up trade references and ensure they are provided to CB Transport Refrigeration Ltd.

Name

First Name

Last Name

Email Address

Company Name

Address

For country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Fax Number

Invoice Address

For Country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you require Purchase Orders

Purchase Order Contact Details

Please provide an e-mail address that we can send purchase orders to.

Non Registered Business

Please specify type.

Other Information

If Less Than 2 Years At your Given Address, Please Provide Details Of Previous Address(es)

For country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is The Business Trading From The Proprietor's Home?

Are The Business Premsises Owned By The proprietor's

Number Of Years Trading

Number Of Employee's

Please Supply Details Of All Partners or Propietor's

Name

First Name

Last Name

Address (if different from business address)

For country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name

First Name

Last Name

Address (If different from business address)

For Country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company Information

VAT Registration Number

Company Registration Number

Bank Account Details

Bank Name

Bank Address

for country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Account Name

Account Number

Sort Code

Account Start Date

YYYY

How Long Has The Account Been Open?

Is Your Company Part Of A Large Group?

If 'Yes' State Details

Trade Account References

Please supply a minimum of three companies whom you have current credit accounts with and that you deal with regularly.

Reference 1 - Name

Reference 1 - Address

For country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 1 - Telephone Number

Reference 1 - E-mail Address

Reference 2 - Name

Reference 2 - Address

For country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 2 - Telephone Number

Reference 2 - E-mail Address

Reference 3 - Name

Reference 3 - Address

For country please enter UK

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 3 - Telephone Number

Reference 3 - E-mail Address

Additional Comments

Authorised Person

First Name

Last Name

Position With Company

Application Authorised

By checking this box below the above named individual confirms that the information contained within this form is truthful and accurate and is confirming they have authority to act on the companies behalf and accepts responsibility for information provided. This also authorises CB Transport Refrigeration Ltd to use this information and complete company credit checks needed in order to support the account application.

Application authorised

Credit Limit Required

Payment Terms

Payment Terms for approved credit customers are NETT 30 days from the date of invoice. Further supply may be withheld until overdue accounts are settled. Title of goods remains with CB Transport Refrigeration Ltd until payment is received in full. All sales are subject to our STANDARD terms and conditions. (copies available on request)

Accept payment terms

Please note that the above form must be completed in full with all the correct information in each section as required, any form submitted with incorrect information i.e. single letter or number values will be rejected automatically and you will be required to complete the form again in full.

Account Application

ACCOUNT APPLICATION

Please note that this form must be completed in full with all the correct information in each section as required, any form submitted with incorrect information i.e. single letter or number values will be rejected automatically and you will be required to complete the form again in full.

Please be aware that we do not accept trade references from Fuel / Tyre / Hire or Finance companies.

It is the responsibility of the applicant to follow up trade references and ensure they are provided to CB Transport Refrigeration Ltd.