Commercial Credit Account Application

Customer Information

Customer Name

Trading Name

Credit Limit Required

Name of Trust

ACN

ABN

Date Established

Business Address

Postal Address

Phone

Email

Contact Details

Accounts

Phone

Email

Manager

Phone

Email

Purchasing

Phone

Email

Estimator

Phone

Email

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Details of Directors / Trustees / Partners /Individuals: (All Directors/Partners to sign)

Name

D.O.B

Address

Email

1. The above information is true and correct and may be used to assess my/our Customer for Credit.
2. I/we are authorised to make this application for Credit on behalf of the Customer.
3. I/we have read and understood the terms and conditions of trade (including clause with respect to the Privacy Act 1988 (Cth)) which are intended to be read in conjunction with this application for Credit.
4. I/we have had the opportunity to seek independent advice and agree to be bound by the terms and conditions of trade.

Signature

Clear

Date

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