Register New

Please complete the below form if you would like to be considered for a credit account with Kernow Fixings.

The completion of this form does not guarantee a credit account. If your application is successful, we will be in touch within 7-10 days.

Name *

Position

Company Name *

Company Registration No *

VAT Registration No *

Address *

City/Town *

Postcode *

Telephone No *

Mobile No

Fax No

Email *

Nature of business / Type of Work

How Did you Hear About Kernow Fixings

INVOICE/DELIVERY ADDRESSES

Delivery Address

Invoice Address

ACCOUNTS INFORMATION

Accounts Contact

Accounts Telephone

Accounts Fax

Accounts Email *

Requested Credit Limit

TRADE REFERENCES

Reference 1

Business Name *

Contact Name *

Telephone No *

Reference 2

Business Name *

Contact Name *

Telephone No *

I agree to T&C's * Read terms & conditions