Commercial Credit Application

	Print and fill out the Credit Application form listed below. Once completed please fax back Credit Application to (03) 5134-6567 Please be aware that this Commercial Credit Application is treated as CONFIDENTIAL INFORMATION and is only used for this purpose. COMPANY DETAILS: Company Name Business Name A.C.N. Trading Style i.e Sole Trader or Partnership etc Bus. Address Postal Address Registd. Office Co. Secretary Years in Business Phone Number Accounts Contact Fax Number Purchasing Contact Email Address Business Premises Rented Leased Owned BUSINESS REFERENCES a) Phone No. b) Phone No. c) Phone No. BANK DETAILS Bank Branch Phone PROPRIETOR/PARTNER DETAILS Monthly Credit Req. ($) Est. Annual Spend ($) We hereby certify that the information supplied herein, is to the best of our knowledge, true correct and agree to abide by your trading terms as set out below. Trading terms are strictly nett 14 days from Invoice Date. Directors of Company or Proprietors/Partners if Sole Trader/Partnership (1) Name (2) Name Address Address Contact No. Contact No. Signature of Applicant/s (1) (2)

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