COMPANY INFORMATION - registered companies

Company Name (required)

Address (required)

Postcode (required)

Contact (required)

Telephone (required)

Fax (required)

Your Email (required)

Your Web (required)

Your Company Reg Number (required)

Your VAT Number (required)

Your Date Incorporated (required)

Your Turnover (required)

Your Number of Years Trading (required)

Your Number of Employees (required)

Details of the person authorised to sign this Credit Application Form on behalf of the company

Contact (required)

Title (required)

Telephone (required)

Fax (required)

Your Email (required)

To be signed by an authorised person of the Company. By signing this Credit Application Form you hereby confirm that you have read our Terms and Conditions and agree that all business between The Cox Group of Companies and your company shall be in accordance with these conditions.

Authorised Person (required)

Date of Application (required)

Amount of Credit Required(required)

Trade References that we can contact relating to your credit application form