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Apply for a 30 day credit account
 

If you order regularly for your business, maybe a credit account would be just what you are looking for. Please complete this form if you have one delivery address. If you have more than one delivery address please contact us directly so we can discuss all the options available, or simply click here and complete a ring back request form and we will make contact when it is best for you. Please note we use credit checking agencies to process all credit applications.
 
   
Company Details Company Address
Company Name:  Address: 
Title:   
First Name:  City: 
Last Name:  County: 
Position in Company:  Post Code: 
Type of Business:  Telephone:   
Number of Employees:  Fax: 
Company Registration No:  Email:  
Number of years trading:  years We do not except Mobile phone Numbers or Hotmail addresses. 
 
Delivery address Invoice / Statement address (if different)
Address:  Address: 
   
City:  City: 
County:  County: 
Post Code:  Post Code: 
 
Bank Details Bank Address
Bank Name:  Address: 
Account Name:   
Account Number:  City: 
Sort Code:  County: 
    Post Code: 
    Telephone: 
 
Directors Home Address (for limited companies only)
   
Name:  Name: 
Address:    Address: 
   
City:  City: 
County:  County: 
Post Code:  Post Code: 
Telephone:  Telephone: 
Fax:  Fax: 
       
Date of Birth:   Date of Birth:   
 
Trade References (please supply two references)
   
Name:  Name: 
Address:    Address: 
City:  City: 
County:  County: 
Post Code:  Post Code: 
Telephone:  Telephone: 
Fax:  Fax: 
How did you find COS Direct?  
   
   
 
DATA PROTECTION STATEMENT: 
Your personal information will be held and used in accordance with the Data Protection Act 1988. COSDirect will not disclose such information to any unauthorised person or body but where appropriate will use such information to process your application and may consult with and disclose the data to credit reference agencies, banks, credit insurers and trade references and that such third parties may process the data. 
By submitting your details you have accepted our terms and conditions.