Cromwell Online - Industrial Tools Supplier

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Account Application Form

If you would like to apply for an account at Cromwell please fill in the form below and your local branch will be in contact.

Any further enquiries please e-mail: hq@cromwell.co.uk

*Required fields

How did you hear about Cromwell?

Representative
Recommendation
Other (please specify)

Company Details

Company*
Contact name*
Invoice address*
Postcode*
Email*
Telephone*
Fax
Delivery address
Postcode
Type of industry
How long has the company been established?
Statement Required Y/N?

Bank Details

Bank Name
Bank Address
Account No.
Sort Code

Limited Company

Company registration number
Company VAT No.
Head office address
Full name of at least one director

Partnership

Full name of at least one partner
Home address of one partner
References (2 Required)

No 1.
No 2.

Sole Trader

Full name of proprietor
Home address
References (2 Required)

No 1.
No 2.

Cromwell standard trading terms are strictly 30 days. Your local branch representative will visit you and collect a company letterhead to complete your application

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	Offers subject to availability. All information is given for guidance only and may be subject to change. All Prices are for supply to the UK only (Prices for outside UK - contact) © 2008 All Rights Reserved. Cromwell Group (Holdings) Ltd., Leicester, England.

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Account Application Form