Cantor Barnard

New account

Thank you for your interest in opening an account with Cantor Barnard Ltd.

Complete the form below to apply for your account.

Once you have submitted the form, you will receive an email containing your account number, contact details and a price list.

We look forward to receiving your completed form.

INVOICE DETAILS

Company Name

Invoice Name

Address Line 1

Town/City

County

Postcode

Telephone

Accounts Email

GOC number

DELIVERY DETAILS

Contact Name

Company Building

Address Line 1

Town/City

County

Postcode

Telephone

Do you require a PO?

Yes please No thanks

TERMS
Settlement nett 30 days from invoice date. A Credit Limit will be applied. All Information will be sent electronically.

All fees incurred during the payment process will be the sender’s responsibility.

I confirm that the details I have entered are correct.

INVOICE DETAILS

Company Name

Invoice Name

Address Line 1

Address Line 2

Address Line 3

Postal/Zip Code

State/Province

Country

Telephone

Accounts Email

DELIVERY DETAILS

Contact Name

Company Building

Address Line 1

Address Line 2

Address Line 3

Postal/Zip Code

State/Province

Country

Telephone

CURRENCY TYPE

Currency

£ STERLING € EURO $ USD

All fees incurred during the payment process will be the sender’s responsibility.

I confirm that the details I have entered are correct.

Cantor Barnard

New account

Eye conditions

Suitable lenses

Sterile soft contact lenses

Rigid gas permeable lenses