Account Application

Company Details

Correct Name of Company *

Correct Address of Company *

Delivery Address (If Different)

VAT Number *

Company Reg Number *

Nature of Business *

How long has the Company been established? *

Purchasing Name *

Purchasing Telephone *

Accounts Name *

Accounts Telephone *

Email address to which invoices are to be sent *:

Reference 1 Name*

Reference 1 Phone*

Reference 1 Address*

Reference 2 Name*

Reference 2 Phone*

Reference 2 Address*

Bank Name *

Bank Address *

Account Name *

Account Number *

Sort Code *

Credit Limit Requested *

All goods and services supplied by CGN Ltd are subject to the terms and conditions of sale and trading (including retention of title by CGN Ltd until payment in full is received) copies of which are available. Usual terms are 30 days unless otherwise agreed.

This form must be signed by a Director of the Company

Print Name *

For and on behalf of *

Position *

Date *