Credit Application Form

New Customer VGM Registration
Company Name: *
Office Address *

Street Address

Street Address Line 2

City County

Postal Code Country
Service Requirements

VGM Only: Maritime Export unit nomination for setting VGM data

If you require any additional CNS functionality, please contact the CNS Commercial department:
cnscommercial@cnsonline.net
User Details (i)

A generic logon will be provided but please provide us with email address(s) for who will require this information. *

	Email Address
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Please enter below the email address of the receipient who will receive email notifications. For example Prints etc.
Email Notifications: *

User Details (ii)

Accounts/ Invoice Information:
Contact Name: *
Job Title: *
Billing Address: *

Street Address

Street Address Line 2

City County

Postal Code Country
Email Address: *
Telephone: *
Office Manager contact details
Name: *
Job Title:
Telephone Number: *
Email Address:
IT contact details
Name:
Job Title:
Telephone Number:
Email Address:

Credit Application Form
Type of business *

Sole trader or partnership Limited company
Section 1

To be completed by all applicants
Full Trading Name:
Trading Address: *

Street Address

Street Address Line 2

City County

Postal Code Country
Email Address: *
Telephone Number: *
Fax Number:
Trading Duration: *
How long has the company been trading? Specify approx years
Current Ownership:
How long has the company been under current ownership? Specify approx years
Accounts Contact:
Contact name of person within your accounts department
Credit Required: *
Provide approx amount of credit your company requires
Section 2

To be completed by sole traders and partnerships only
Partner One, Full Name: *
Address: *

Street Address

Street Address Line 2

City County

Postal Code Country
Partner One, DOB: *
Date of birth (DD/MM/YYYY)
Partner Two, Full Name:
Address:

Street Address

Street Address Line 2

City County

Postal Code Country
Partner Two, DOB:
Date of birth (DD/MM/YYYY)
Section 2

To be completed by limited companies only
Registered Company Address: *

Street Address

Street Address Line 2

City County

Postal Code Country
Date Incorporated: *
Approx date (DD/MM/YYYY)
Registration Number: *
Director or Owner of Other Companies (please provide details):
Section 3

The CNS Direct Debit mandate form

Please Click Here to download a copy of the CNS Direct Debit Mandate form. This MUST be completed and returned to CNS. Address details are included within the mandate.
Thank you for taking the time to complete this form. If you have any queries regarding either charges or invoicing, please contact the CNS Commercial Team on cnscommercial@cnsonline.net or telephone 023 8079 9601.

When you are complete please continue to submit this form by clicking the submit button below.
Should be Empty:

New Customer VGM Registration

Service Requirements

User Details (i)

User Details (ii)

Office Manager contact details

IT contact details

Credit Application Form

Section 1

To be completed by all applicants

Section 2

To be completed by sole traders and partnerships only

Section 2

To be completed by limited companies only

Section 3

The CNS Direct Debit mandate form