APPLICATION AND AGREEMENT FOR CREDIT ACCOUNTApplication and Agreement • December 9th, 2015
Contract Type FiledDecember 9th, 2015Business Name/Applicant/Customer (The Customer): Year Business Commenced: Trading Name: Registered Office of Applicant: Registered Entity Number: Trading Address: Delivery Address: Whereas• The applicant/s requests to establish a credit trading account with the supplier and or its subsidiaries and in doing so has provided the required particulars for this request• Each signatory warrants that he/she has the full authority of the applicant to sign on their behalf• It is agreed between the parties that should credit trading account be established then it shall be on the terms and conditions contained herein Invoice/Postal Address: ATT to: Email Address: Order Number Required: YES / NO Purchasing Contact Name: Name of Authorised Applicant: Position: Personal Address: Bus Ph: ( ) Mob Ph: ( ) Hme Ph: ( ) Fax: ( ) Additional Applicant/Customer Name: Position: Bus Ph: ( ) Mob Ph: ( ) Hme Ph: ( ) Fax: ( ) Bank: Branch: Time with Bank: Credit Limit Required: Trade References (Please supply all