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 *
Name
Address *
Address
For country please enter UK
Invoice Address *
Invoice Address
For Country please enter UK
Please provide an e-mail address that we can send purchase orders to.
Please specify type.
If Less Than 2 Years At your Given Address, Please Provide Details Of Previous Address(es)
If Less Than 2 Years At your Given Address, Please Provide Details Of Previous Address(es)
For country please enter UK
Name
Name
Address (if different from business address)
Address (if different from business address)
For country please enter UK
Name
Name
Address (If different from business address)
Address (If different from business address)
For Country please enter UK
Bank Address *
Bank Address
for country please enter UK
Account Start Date *
Account Start Date
Please supply a minimum of three companies whom you have current credit accounts with and that you deal with regularly.
Reference 1 - Address *
Reference 1 - Address
For country please enter UK
Reference 2 - Address *
Reference 2 - Address
For country please enter UK
Reference 3 - Address *
Reference 3 - Address
For country please enter UK
Authorised Person *
Authorised Person
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.
£
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)

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.