apply for a credit acount

Alternatively, you can download and fill in the Account Application form as a PDF and fax it back to us.

Company Information
*Company Name: eCourier Contact:
*Registered Address: Pickup Address:
(copy from registered address)
*Town: Town:
*Postcode: Postcode:
*Tel No: Tel No:
*Email: *Company Number
Customer Type: Ltd Co. Sole Trader Partnership PLC
 
Contact Details
Operations Contact Details: Accounts Department Contact Details:
(copy from operations details)
Name: Name:
Tel No: Tel No:
Email: Email:
 
Account Details
Preferred Method of Payment: Cheque BACS
*Monthly Courier Spend:
(spends will be audited)		 *Requested Credit Limit:
*Usage Start Date:
(date you will start booking)		 / / VAT Number:
 
Signature
Disclaimer: I declare that all of the above information is true to my understanding and that I shall comply with the eCourier Terms and Conditions of Service which have been made available to me. Furthermore, I confirm that all invoices shall be paid within 14 days of the invoice date, and if my account is not settled within this timeframe, I accept that late payment penalties will be applied to my account.
  By typing my name below and ticking this box I hereby agree to the eCourier terms and conditions. *Date   / /
*Print Name:

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