Application for Cash Account

What brand/s are you interested in purchasing









Invalid Input
All fields marked with an asterisk (*) must be completed

Business details

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please select your state
Invalid Input
All fields marked with an asterisk (*) must be completed

Delivery and contact details

Delivery Address (If different to postal address)
Invalid Input
Invalid Input
Please select your state
Invalid Input
Invalid Input
Invalid Input
Sales Contact
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Accounts Contact
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
All fields marked with an asterisk (*) must be completed

Payment details

Please note that goods will not be shipped until payment has been received by Canohm.
Payment Method
Invalid Input
Invalid Input

If YES, please complete Credit Card details below

Invalid Input
Not a valid credit card number
/ Invalid Input
Invalid Input
Invalid Input
Invalid Input
All fields marked with an asterisk (*) must be completed

Terms and Conditions

I / we understand that all goods must be paid for prior to dispatch or collection of goods.

Retention of Title: I agree that property in any goods supplied to me by Canohm will pass to me only after all goods supplied to me by Canohm have been paid for in full.

Delivery: Our standard delivery conditions are invoice with goods to business addresses staffed 9am-5pm Monday-Friday. Delivery to residential and 3rd party addresses may be arranged on request, but additional freight charges apply and we accept no responsibility for non-delivery of goods or incorrect disposition of documents.

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
/ / Invalid Input
Invalid Input
All fields marked with an asterisk (*) must be completed

TV Mounting Solutions


Homewares


Automation Solutions

Tablet Mounting Solutions


Radios


Speakers


Speaker Mounting Solutions

Media Hubs


Ergonomic Furniture


Cables


Television