To apply
for an account with us print out and fill in the form below and
fax or mail
it to us at: C.B.C. (Northern) Ltd.
10-11 Avenue Crescent, Seaton Delaval, Tyne & Wear. NE25 0DN
Tel. 0191 237 4000 Fax. 0191 237 7788
Please note our account payment terms are 30 days
NET
Fields marked with an asterisk (*) are optional
Your Company Details:
Company Name:
Trading Address:
Registered Address:
Telephone Number:
Fax Number:
No. Years Trading:
Credit Limit Required:
(in £ UK Sterling)
Directors Address:
* If not Limited:
Company Registration:
Email Address:
Position of Person
Applying:
Name
of Person Applying :
* Other Information:
Bank Details
Name of Bank:
Account No:
Address of bank:
Trade Reference 1
Trade Reference 2
Contact:
Contact:
Tel
No:
Tel No:
By submitting this
form you
agree by the terms laid out in the accounts policy.