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CREDIT APPLICATION 30 day account Business Name ............................................................................................................................................... Type of Business ................................................................................ ABN .................................................... Street Address ................................................................................................................................................ Postal Address ............................................................................................................................................... Telephone ........................................... Fax .........................................Email .................................................. Name of person/s or company owning business ................................................................................................. Full name/s, address/es of sole trader or partners in business or, if a company, full names and addresses of Directors ...................................................................................................................................................................... ...................................................................................................................................................................... ...................................................................................................................................................................... ...................................................................................................................................................................... Bank ......................................................................Branch ............................................................................ Credit Required $ .................................Accounts Payable contact person ...................................................... Trade References 1. Name ......................................................................................................................................................... Address ..................................................................................................................................................... Contact Person .................................................................Phone No. ......................................................... 2. Name ......................................................................................................................................................... Address ..................................................................................................................................................... Contact Person .................................................................Phone No. ......................................................... 3. Name ......................................................................................................................................................... Address ..................................................................................................................................................... Contact Person .................................................................Phone No. ......................................................... TERMS AND CONDITIONS COOROY MOUNTAIN SPRING WATER PTY LTD (THE COMPANY) DATE ...........................................
This application is made by the Sole Trader/Partner/Directors referred herein and must be signed by all such parties. The signing parties hereby:
Signature ..................................................... Full Name ..................................................................... Witness ........................................................ Signature ..................................................... Full Name ..................................................................... Witness ........................................................ DIRECTORS GUARANTEE Name of Company ................................................................................................................................................................................................. Name of Directors ..................................................................................................................................................................................................
SIGNED sealed and delivered by each of the above Directors: Name .................................................................................. Signature .................................................................................. Name .................................................................................. Signature .................................................................................. In the presence of: Name .......................................................... Signature .................................................................................. |