Customer Account Application

To apply to for a Customer Account with Pickstock Foods Ltd, please complete the form below.  

"*" indicates required fields

Customer Account Application Form

Full Trading Name*
Company Formation Type*
Company Registration Number*
Company partner's name and address 1 (if not a limited company):
Company partner's name and address 2 (if not a limited company):
Business Registered Address*
Accounts Contact Details*
Are you able to supply a copy of your Public Liability Insurance?*
Max. file size: 512 MB.

Your Business and Location

Business Trading Address – For Deliveries*
Purchasing Contact Details*
Is your premises owned or rented?*

Business Delivery Opening Times

Open*
:
Closed*
:

Trade References

Trade Reference 1 Name*
Trade Reference 2 Name*
Trade Reference 1 Address*
Trade Reference 2 Address*

How did you hear about Pickstock Foods Ltd?

Must be manager or director
MM slash DD slash YYYY

“By signing I confirm that I have read and agree to the ‘Pickstock Foods Ltd Standard terms and conditions for sales of goods’.” as outlined below.

PICKSTOCK FOODS LTD STANDARD TERMS & CONDITIONS FOR SALE OF GOODS