Application for Credit Account

We hereby request the opening of an account in our name. The application process has been completed, and we agree to settle all payments related to the account referenced below, in accordance with the terms discussed with your representative and by the due date specified on each invoice.

Furthermore, we, the applicant, confirm that we have read and fully agree to the Conditions of Trading Act Disclosure and Consent as outlined at the bottom of this page.

Please note that submission of this form does not guarantee approval of the credit application. Our accounts team will review the application and contact you to confirm the outcome or request any additional information if necessary.

 

*
*
*
*
*
*
*
*
*
*
Details of Account Payer
*
*
Details of Owner/Directors/Partners etc. of the Enterprise
*
*
*
References
*
*
Signature
*
*
*
*
*