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CREDIT APPLICATION FORM
ABN:
25697228050
1. Business Details
Business Name
ABN / ACN
Trading Name
Business Address
City / Postcode
2. Contact Information
Contact Person
Phone Number
Email Address
3. Credit Request
Requested Credit Limit
Payment Terms (7 / 15 / 30 Days)
Estimated Monthly Spend
4. Directors / Owners Details
First Director Name
Address
Phone Number
Second Director Name
Address
Phone Number
5. Trade References
Company
Contact
Phone
Email
6. Agreement & Terms
Payment must be made within approved terms (15 or 30 days). A 2% monthly interest may be charged on overdue accounts. Late payments may incur additional fees. Ownership of goods remains with KHOSA TRUCK TYRES PTY LTD until paid in full. The company reserves the right to suspend supply if accounts are overdue. Applicant agrees to pay all recovery and legal costs incurred.
7. Personal Guarantee
Name
Signature
Date
8. Applicant Declaration
Name
Position
Signature
Date
Send
