Account Opening Form

If you are interested in registering for Online Business Account just enter your details in the form below. We will contact you as soon as possible to setup your account access details.

Company Name: (Enter complete legal, corporate name)

Your Email: (required)

Website:

Company Address:

Phone:

Year Established:


Finance Department


Finance Dept Address:

Finance Manager:

Finance Phone:

Finance E-Mail:

Please Indicate Preference for Receiving Invoices:

PostE-Mail


Business Information


Business Type: (i.e. Sole Trader / Partnership / Limited Compan)

Current Bank

Years with Bank

Nature of Business:

Company Registration Number:

Managing Director Name:

Has the business or principal ever filed bankruptcy? (If yes, answer below)

Are there any outstanding liens/judgements (If yes, answer below)

Explanation: (If required)

How did you hear about DNDP C.I.C:


List of Authorised Bookers Below

(Staff who have authority to book courier work.)

Person 1:

Name / Position / Phone / Department

Person 2:

Name / Position / Phone / Department (If required)

Person 3:

Name / Position / Phone / Department (If required)


References

Reference 1:

Please list your trader references. We need their name, address, postcode, department, phone and email

Reference 2:

Please list your trader references. We need their name, address, postcode, department, phone and email

I certify that I have the authority to enter into an agreement with DNDP C.I.C, and have read and understood the terms & conditions as supplied. I indicate my acceptance by completing this section. I accept:

Applicant's Name / Title:

Date: