Bend-Worx Pty Ltd ABN 63 115 668 043 1 VIKING DRIVE, WACOL QLD 4076(PO Box 277, Ellen Grove Qld 4078)PHONE: (07) 3271 1377FAX: (07) 3271 1477 30 DAY EOM CREDIT APPLICATION AND SECURITY AGREEMENT30 Day Eom Credit Application and Security Agreement • September 28th, 2021 • Queensland
Company Name: Trading Name: ABN: ACN: Physical Address: Postal Address: Please Indicate: Company Partnership Sole Prop Govt. Dept. Trustee Co ** see below Telephone: Facsimile: Mobile Phone: Email: Accounts Contact Name: Nature of Business: How long in this Business: Purchase Order Number Required: YES NO Bank Name: Branch: BSB: Account Number: Estimated Monthly Purchases: $
