Existing Account

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Password

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New Account

To apply for a new account give us a call on 0800 367 292 or email office.azapcanterbury@gmail.com

Step 1 of 5
- Basic Account details

Business Name

Contact Person

Phone Details

Enter a password you will use to access the website

Your password should be at least six characters.(Suggestion: good passwords include a mix of digits/lowercase/uppercase letters)

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Step 2 of 5
- Address details

Physical address

Enter/Edit address
manually

Postal Address
Same as physical
P O Box Building #

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Step 3 of 5
- Business details

Business type

Nature of business

Registered Office

Bank& Branch

Accountant

Solicitor

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Step 4 of 5
- Ownership & Credit referees

Details of all owners/directors/partners/trustees/individuals

Name/Phone	Home Address

Details of two trade credit references

Referee 1:

Name:

Address

Contact:

Phone:

Referee 2:

Name:

Address

Contact:

Phone:

Has any person named in this application ever been declared bankrupt or been a Director of a failed company? yesno
Has any person named in this application ever been involved with a creditor pooling/repayment arrangement? yesno

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Step 5 of 5
- Complete
declaration

We would now ask that you:

print a copy of your application by clicking here
ensure you have read and understood the terms and conditions attached to this agreement
(to view these again click here).

Complete the short declaration and sign the application.
Scan the application and select for upload below:

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