Apply for an account

After you have completed the form below we will process your application and our dedicated account executive will contact you.

Trading Name: *

Trading Address: *

Trading Postcode: *

Telephone: *

Fax:

Website:

Accounts Contact

Name: *

Email Address: *

Contact Number: *

Limited Company

Please complete only if a Limited Company

Legal Name:

Company Number:

Registered Office:

Postcode:

Partnerships

Please complete only if a Partnership

Partner 1

Name of Partner:

Home Address:

Postcode:

Partner 2

Name of Partner:

Home Address:

Postcode:

Partner 3

Name of Partner:

Home Address:

Postcode:

Partner 4

Name of Partner:

Home Address:

Postcode:

Partner 5

Name of Partner:

Home Address:

Postcode:

Sole Trader

Complete only if a sole trader

Name of Trader:

Home Address:

Postcode:

Other

Complete if other

Details:

Declaration I confirm that the above details are correct. I agree to strict 30 day payment terms unless otherwise agreed. I authorise JCJS Ltd to process this application and contact the person named as the accounts contact for bank references. I understand that account facilities are subject to status.

Apply for an account

Accounts Contact

Company Information

Limited Company

Partnerships

Partner 1

Partner 2

Partner 3

Partner 4

Partner 5

Sole Trader

Other

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