Personal Information

 

Company Name*
Registered Address*
Phone Number*
Website*
Turnover, last
financial year (€)*
Other Accreditations

Application Type

Please let us know which type of cable your application applies to.

Cable Type

Operating Areas

 

Comments

Contact Information

 

Contact Name*
Job Title*
Email Address*
Other Contacts
Other contacts (Project Managers / Sales Account Managers / Project Engineers).

Cabling Engineers

Please detail one / two members of your cabling engineer’s team / project management team and their network cabling qualifications / experience. The two people suggested will be your personnel that apply for the CCS warranties and undertake that the installation and testing meets the required CCS guidelines:

Contact Name*
Email Address*
Experience /
Qualifications
Course certificate
number from CCS
training course
(if applicable)

Contact Name*
Email Address*
Experience /
Qualifications
Course certificate
number from CCS
training course
(if applicable)

Connectix Account

Do you already have an account with connectix? - if you do, please enter your Connectix account number.

Account Number
Current Suppliers

We will process your application and inform you of your approval and commencement date. Applications are normally processed within 5 working days but can take longer in busy periods.

This agreement is between ("the installer") and Connectix Cabling Systems.

CCS agrees to issue a warranty certificate for all installations carried out by the installer, using CCS products in accordance with the ‘Connectix Cabling System Warranty Procedures Manual’ and subject to the ‘CCS Warranty - Terms and Conditions’ and the following conditions:

  1. All links are fully tested by the installer in accordance with the Connectix Cabling System Test Criteria and full results are issued to CCS.
  2. The installer accepts full responsibility for the workmanship of the installation and any subsequent failures, attributable to poor installation practices.
  3. The installer accepts responsibility for ascertaining the nature of any fault, and carrying out any remedial work.
  4. CCS reserve the right to inspect any installation being carried out by the installer, having given the installer prior notice.
  5. CCS reserve the right to cancel this agreement in writing at any time.
  6. No warranty is valid until the payment due for the products supplied under the warranty have been made in full to CCS by the installer.

Declaration

We the undersigned have read and agree to the above conditions

Name*
Position*