Business Application Form

Please note it will take 2–3 working days for the office to process and approve a business account. If your delivery is urgent please create a Pre Paid Account and contact the office to discuss setting up a business account with us.

Details of Business

Trading Name*

Please complete this required field.

Trading Address*

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Postal Code*

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Business Activity*

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Phone Number*

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Business Type*

Partnership Sole Trader Limited

Please select a business type.

How Long Trading?*

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Registration Number*

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VAT Number*

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Accounts Information

Accounts Contact*

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Accounts Email*

Please enter a valid email address.

Purchase Orders Required

Yes No

Accounts Telephone*

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Invoice Address

Same Day Delivery Requirements

Anticipated Monthly Spend*

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Usage*

Please select an option.

Quantity*

Please select an option.

Business Hours

Working Hours*

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Out-of-Hours Courier Required? If so, what times?*

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Special Requirements

Handballing Service Required?

Collection References Provided?

Notify me of additional charges before they are added?

I/We agree to the companies standard credit terms which are 30 days net unless otherwise agreed in writing.

I/We understand and agree that occasional searches may be made with a credit reference agency who will keep a record of that search, including searches on principal directors. Information regarding the account may be monitored, recorded and shared with credit reference agencies and other companies and used for the purpose of credit assessments, marketing, fraud prevention and debt recovery.

I/We understand that Nationwide Courier Service Ltd are members of the Road Haulage Association and deliveries on vehicles exceeding 3.5T are carried out in line with RHA Conditions of Carriage 2009. All goods carried in vans less than 3.5T are subject to Nationwide Courier Services conditions of business.

Please fill in all required fields.

Are you an existing customer?

What delivery type do you need?

Business Application Form