CORK CITY COUNCIL 021 4924299 COMHAIRLE CATHRACH CHORCAI
[email protected] Environment and Recreation Directorate Application Form for Certificate of Retailer Registration in accordance with European Union (Waste Electrical and Electronic Equipment) Regulations, 2014 (S.I. No. 149 of 2014) and/or European Union (Batteries and Accumulators) Regulations 2014 (S.I. No. 283 of 2014) 1. NAME OF APPLICANT _____________________________________________________________________________________ TRADE NAMEii _____________________________________________________________________________________ CRO* NO. (IF APPLICABLE) _____________________________________________________________________________________ ADDRESS OF REGISTERED OFFICE/PRINCIPAL PLACE OF BUSINESS ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________ TELEPHONE NO. _____________________________ MOBILE NUMBER _________________________________ FAX NO. _____________________________ E-MAIL ADDRESS __________________________________ 2. ADDRESS OF PREMISES SUBJECT TO REGISTRATION: ___________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________