Online Account Form
Millennium Group
Enjoy access to over 500,000 agricultural parts and accessories. Choose click and collect or and have them delivered the next day, straight to your door.
Company Name
*
Purchase contact Name
*
First Name
Last Name
Purchase contact Email
*
example@example.com
Purchase contact phone number
*
Delivery Address
*
Address line 1
Address line 2
City
County
Postcode
Industry
*
Please Select
OEM Agri
Agricultural dealer franchise
Agricultural dealer non-franchise
Agricultural repair & service
Agricultural repair only
Agricultural Contractor
Farmer with professional workshop
Farmer cooperative and machinery purchasing groups
Arable farmer
Livestock farmer
Other farmer
Agriculture other
OEM F&G
Forest & garden dealer
Forest garden machine importer
Forest & garden repair & service
Forest & garden repair only
Landscaping/Greenkeeping/Forestry individual
Local Authority/municipality
Landscape & Gardening company
Forestry Contractor
Verge & Landscape maintenance
Recreation, culture and sport
OEM Construction
Construction dealer
Construction repair & service
Construction repair only
Plant Hire Construction
Metal construction
Construction Contractor
Construction other
Roads Contractor
Industrial maintenance and service
OEM Other
Industry other
Reseller parts
Retail shops
Private individual
Sole trader
Certification for professional use of rodenticides
Yes
No
Persons authorised to book items to your account
*
Persons authorised to collect orders from Millennium Group
Does the collector need to provide a PO
Yes
No
I would like to receive future communications and special offers from Kramp Groep and Millennium Group.
*
Please Select
Yes
No
I want to only receive offers from Kramp
I want to only receive offers from Millennium Group
Do you already have a credit account with Millennium Group?
*
Yes
No
I'm not sure, please check for me
Please enter your account number below
*
Credit Account Application
The following information will be visible by Kramp but will only be used by Millennium Group for their accounting purposes
Is your company name & delivery address above different to your invoicing name & address?
*
Yes
No
Company name
Address for Invoices & Statements
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
VAT NUMBER
*
Year established
Type of business
*
Please Select
Sole trader
Partnership
LLP
Ltd Company
Other
Company Registration Number (If applicable)
*
Please indicate the full name of the main person responsible for your financial accounts.
*
Accounts name
Please indicate the phone number of the main person responsible for your financial accounts.
*
Accounts phone number
Please indicate the email of the main person responsible for your financial accounts.
*
Accounts email
Should we email you your invoices and statements?
*
Yes
No
Please indicate the email for your invoices and statements if different to the one above
Credit limit required
*
Please provide two Trade references
To avoid delays in the processing of your application, please only provide companies that you have a current credit account history with and that they are willing to help us with our enquiries
Company name 1
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Company name 2
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Signature
*
Name
*
First Name
Last Name
Role
*
Submit
Should be Empty: