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

Major Debit/Credit Cards Accepted

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)

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