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Description	Order Code	Manufacturer	Quantity	Total

Business Trade

Everything you love about CPC
FOR BUSINESS &
THE TRADE

CPC Business Upgrade Application Form

Are you a new customer looking to take advantage of CPC Business Account benefits and credit? To find out if you qualify for a CPC business account upgrade, we just need you to provide a little bit more information about your business in order to get you the best deal.

If you're already registered online, logging in will pre-populate some of the details required below.

Already registered with CPC?

*Required

Your Company Details

*Full Company Name:

*Company Registration Number:

Legal Trading Entity:

Company Incorporation Date:

VAT Number:

*Landline Phone Number:

Number of Employees:

*Address Line 1:

Address Line 2:

*Town/City:

*Country:

*Postcode:

Invoices / statements will automatically be sent by email (pdf). Please fill in the below fields:

*Accounts Email Address:

Alternative invoice receipts:

Your Contact Details

Title:

*First Name:

*Last Name:

Company Position:

How did you hear about us?

Contact Landline Telephone:

Contact Mobile Telephone:

*Contact Email Address:

Contact Fax Number:

More About Your Needs

Which of the following best describes your primary reason for purchasing CPC products

Which of the following best describes you?

*What Credit Limit do you require?

Which of the following would you benefit from?

Account Manager

Direct Shipping

Volume Discounts

Trade Promotions

Access to Images

Access to Data Feeds

Trade Reference 1

*Company Name:

Address Line 1:

Address Line 2:

Town/City:

Postcode:

*Reference Email Address:

*Reference Contact Name:

Trade Reference 2

*Company Name:

Address Line 1:

Address Line 2:

Town/City:

Postcode:

*Reference Email Address:

*Reference Contact Name:

Acknowledgement of Terms & Conditions of Sale

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