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NATIONWIDE
TREES PTY LTD
ACN 934
661 269
APPLICATION
FOR CREDIT
Please
tick
your applicable business structure:
Ο Private
Company Ο Public Company Ο Partnership Ο Sole
Trader
A.
PARTICULARS OF COMPANY
FULL COMPANY NAME:
A.C.N.
REGISTERED OFFICE ADDRESS:
BUSINESS ADDRESS:
TELEPHONE:
CONTACT PERSON:
TITLE:
B.
PARTICULARS OF BUSINESS
BUSINESS NAME:
ABN:
BUSINESS ADDRESS:
TELEPHONE:
FAX:
MOBILE:
C.
DETAILS OF DIRECTORS / PARTNERS
1.
NAME:
TELEPHONE:
ADDRESS:
2.
NAME:
TELEPHONE:
ADDRESS:
3.
NAME:
TELEPHONE:
ADDRESS:
D.
GENERAL INFORMATION
DATE COMMENCED BUSINESS:
NATURE OF BUSINESS:
NAME OF ACCOUNTANT / S:
TELEPHONE:
ADDRESS OF ACCOUNTANT:
NAME OF PARENT & / OR ASSOCIATED COMPANIES:
DOES THE COMPANY ACT AS TRUSTEE FOR ANY TRUSTS?
IF YES, PLEASE PROVIDE DETAILS:
AMOUNT OF CREDIT REQUESTED? MULTIPLY BY 2 =
ISSUED CAPITAL:
PAID UP CAPITAL:
SALES TAX EXEMPTION NUMBER:
LENGTH OF TIME IN BUSINESS:
PREMISES: Ο
OWNED Ο
LEASED Ο
RENTED
BANK:
BRANCH:
E.
CREDIT INFORMATION
TRADE REFERENCES:
(Organisations you have traded with for 12 months or
more)
1.
NAME: TELEPHONE:
ADDRESS: MONTHLY
PURCHASES $
2. NAME: TELEPHONE:
ADDRESS: MONTHLY
PURCHASES $
3. NAME: TELEPHONE:
ADDRESS: MONTHLY
PURCHASES $
4. NAME: TELEPHONE:
ADDRESS: MONTHLY
PURCHASES $
- The
applicant hereby applies to NATIONWIDE TREES PTY LTD for
a credit account.
- Should this
application be accepted by NATIONWIDE TREES PTY LTD the
applicant agrees that the credit account shall be subject to the
terms and conditions of this application and the usual terms and
conditions of trade.
- The
applicant shall notify NATIONWIDE TREES PTY LTD of any
change in the constitution or structure of the applicant or the
sale of the business operated by the applicant and agrees that it
shall continue to be liable to NATIONWIDE TREES
PTY LTD for any sums outstanding on the account opened on
behalf of the applicant until:
-
- Written notice is
received from the applicant that it has changed the constitution or
structure or the sale of the business, OR
- the
account has been closed and full payment has been received by
NATIONWIDE TREES PTY LTD.
- The
applicant agrees that the terms and conditions applying to any
credit account opened in the name of the applicant and the
construction and interpretation of it shall be governed by the laws
of the State of Victoria, in force for the time being and from time
to time, and the parties irrevocably submit generally and
unconditionally to the jurisdiction of the Courts of Victoria in
respect of claims, proceedings and matters arising out of or in
respect of the said credit account.
DATED
THIS DAY
OF 200
.
SIGNATURE OF AUTHORISED OFFICER OF APPLICANT:
PRINT NAME OF AUTHORISED EXECUTING OFFICER:
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