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OPEN AN ACCOUNT

Please complete the following form in full

COMPANY DETAILS

 

Registered Name of Company:
Trading Name of Company:
Nature of Business:
Physical Address:
Postal Address:
Company Accountant:
Accountant Phone:

 

Contact Details

 

Contact Name:
Phone:
Mobile Phone:
Fax:
E-mail:
Account Contact:
Account Phone:
Account Fax:
Account E-mail:  
Approx spend per month:  

 

Trade References
Please provide three

 

Reference 1:
Name, Address, E-mail & Phone
Reference 2:
me, Address, E-mail & Phone
Reference 3:
me, Address, E-mail & Phone

 

PERSONAL DETAILS (If Sole Trader/Partnership)

 

Surname:
First Names:
Private Address:
Phone Number:
Date of Birth:

 

Applicant 2 - If Partnership

Surname:
First Names:
Private Address:
Phone Number:
Date of Birth:

 

Our preference is for invoices to be paid by direct credit:
BNZ Sydenham 02 0828 0309673 00

Please advise how you will be paying:
Direct Credit    By Mail    Over Counter

 

If Referred by CQ Staff Member Please Put Name Here:

 

 I have read and agree to the terms and conditions of account
   

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CITY OFFICE

p. 03 963 8899
f. 03 366 1956
a. Cnr Manchester St & Cambridge Tce
Christchurch
PO Box 13957
e. info@cq.co.nz

BLENHEIM RD BRANCH

p. 03 982 8982
f. 03 982 8981
a. 213 Blenheim Road
Christchurch
e. info@cq.co.nz
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