Register as COD Customer

Complete the form below to sign up as a COD customer.

Company Details

Registered name of business

Type of company

Registration number

VAT number

Email

Telephone

Fax

Postal address

Phyical address

Business type

If other please specify

Banking Details

Bank

Bank branch and code

Account number

Tranport Details

Transporters name

Transporters telephone

Account number with transporters

Director, Partner or Member Details

Director 1

Name

ID Number

Home Telephone

Home Address

Director 2

Name

ID Number

Home Telephone

Home Address

Director 3

Name

ID Number

Home Telephone

Home Address

Terms and Conditions

I agree to the terms and conditions
View Terms and Conditions