Application for a Chicken Cyclekit Account

Complete the following form and once we receive your application, if successful we will be in touch.

Login Details

Username
Password
Verify Password

Business Details

Company Name
Trading Name (if different to above)
Company Registration Number
Company VAT Number
Number of years trading
Contact Name
Buyer Name
Email
Telephone
Position (tick as appropriate)


Business Address

Address 1
Address 2
Town
County
Postcode
Do you have more than one store?

Website Address
Closing Day?
What ordering system do you use? ie. Excel, Stockturn
What brands most interest you from our range?
Main Business (tick as appropriate)




Other Business (not mentioned above)

Private Address

Address 1
Address 2
Town
County
Postcode

Credit References (please supply 2 references)

Reference One
Email Contact
Reference Two
Email Contact
THE FIRST 3 ORDERS ARE USUALLY SUPPLIED ON DEBIT/CREDIT CARD PRO-FORMA BASIS.

Terms and conditions

By ticking this box you are stating that "I/we understand the ownership of any goods supplied does not pass to the undersigned company or business until payment has been made in full", by submitting this form you are agreeing to these terms and conditions. Once the account has been opened, by continuing to trade with us you are agreeing to our full terms and conditions. These can be viewed on our B2B site or a copy can be emailed on request.