CREDIT APPLICATION

APPLICATION FOR CREDIT AND GUARANTEE

Please either:

  1. Download PDF Application form
  2. fill out the form below
Account Name:
Account No:
Trading Name:
Registered Office:
Business Address:
Address to which correspondence should be forwarded:
Parts of Incorporated/Registration of Business:
Anticipated monthly credit applied for:
Bank   
Branch
Full Name and Private Addresses of Proprietors/Directors:
Name of Accountants/Tax Agents:
Business reference:

The above information is for the purpose of obtaining credit and is warranted to be true and correct.

TERMS OF TRADING AND CONDITIONS OF PAYMENT: Full payment must be received by credit grantor not later than 7 days from receipt of each statement. Interest at the rate of 15% PA may be charged on overdue accounts.

We, (imprint names)

   /    do agree to the terms of trading as set out above. In the event of this credit account ever being placed in the hands of a Debt Collector or Solicitor for formal demand and collection of any monies outstanding, then I do agree to pay all Debt Collection fees, commissions and disbursements which may be levied by that Debt Collector/Solicitor.

I FURTHER AGREE TO BE RESPONSIBLE TO YOU FOR THE PRICE OF ALL GOODS AND SERVICES AS YOU MAY THEREAFTER SUPPLY TO THE FIRM. THIS GUARANTEE IS A CONTINUING GUARANITEE AND SECURITY AND MY LIABILITY UNDER IT SHALL NOT BE AFFECTED BY YOU GIVING TIME OR ANY OTHER INDULGENCE TO THE FIRM.


Applicants Name:
Position:
Applicants Name:
Position:
Date of Application:

TERMS STRICTLY 7 DAYS AFTER RECEIPT OF STATEMENT

By clicking I AGREE, you agree to abide by the Terms of Trading and Conditions of Payment