CBS Credit Account Application Form

You will be sent a copy in the post with the Terms & Conditions for signature. A Red star indicates a mandatory item.

Name * First Last
Trading Name (if different to above)
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Previous Address (if less than 2 years at current address)
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone *
Fax
Mobile *
Web Site
Trading Style * Sole Trader Partnership Ltd Company LLP PLC Other
Company Number

Please enter your coompany regsitration number
Date commenced trading
Have any of the principals (directors/partners/trustees or proprietor) been involved in a Liquidation/Bankruptcy/IVA/CVA/Receivership or had any CCJâ€™s registered against them? No Yes
Answering No does not necessarily mean you will not be able to open an account.
Payment Method Direct Debit Cheque BACS
Which Building Suppliers do you hold an account with? Travis Perkins Keyline Jewsons Build Centre
Approximately what is your monthly spend on Building Materials? *