New Covetrus Account

New Covetrus Account

General Information
Business Legal Name*
Include Legal Name, followed by T/A [Trading As] if applicable.
Billing Address*

Street Address

Street Address Line 2

CityRegion

Postcode
Billing Address is the same as Delivery Address*

YesNo
Delivery Address

Street Address

Street Address Line 2

CityRegion

Postcode
Main Email*
enquiries@covetrus.com
Practice Phone Number*
Please enter a valid phone number.
Ideal Start Date*

DayMonthYear
Start Date

New Covetrus Account

Financial and Regulatory
Organisation Type*
Company Registration Number*
Company Incorporation Date*

MonthDayYear
Date
As a valued partner to Covetrus, we are committed to supporting you in building, growing and nurturing the work you do. Due to the nature of your legal entity: in order to best support you moving forward in acquiring a credit limit with us – we ask that you provide photocopy evidence of two of the below documents:

-        Most Recent Management Accounts

-        Last 3 Months Bank Statements

-        Latest Statement from Previous Supplier (if applicable)

These documents are used in the strictest confidence and destroyed once sufficient information has been obtained.
Please provide documentation here:*

Cancelof
We have a qualified member of staff working for the organisation. (i.e. Mrcvs, SQP etc)*

TrueFalse
We hold a registration with:
If multiple apply: please select the one most relevant to your Covetrus Account.
Qualified Person Name

First NameLast Name
Named Person Qualification
Named Person Qualification Number
Premises Registration Number

New Covetrus Account

Moving Digital
Moving Digital

I would like to receive my Invoices via EmailI would like to receive promotional material
Invoice Email Address
example@example.com
Statement Email Address
example@example.com
Promotion Email Address
example@example.com
I confirm that Covetrus are permitted to contact me for the purpose of Account Management; and with relevant marketing information.

YesNo
I confirm I am an appointed representative of the organisation requesting a Covetrus account.*

Clear
Should be Empty: