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If you would like to register with us, please complete the details below:


First Name
Middle Name
Surname

Address

City
Postcode

Home Telephone Number
Mobile Telephone Number
Text Messaging	Please tick this box if you would like to receive text messages to your mobile when money is sent to your bank account. No extra charge will be made for this.
Email Address
Repeat Email Address
Contractor / Agent
Occupation
Nationality
National Insurance Number (9 digits, no dashes)
Unique Tax Reference (UTR) (10 digits, no dashes)
Payment of tax under the Construction Industry Scheme	Please tick this box if you want CB Solutions to deduct and pay tax under CIS
Date of Birth
Security Word

Bank Name
Account Holder's Name
Sort Code (no dashes)
Account Number (8 digits)
Building Society Roll Number

Other Comments

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