Credit Application Form

CREDIT ACCOUNT APPLICATION FORM
Online ordering done via fresho.com.au (Login details will be provided)
Orders must be in by 11pm for next day delivery
Company Name
Trading Name
Postal Address
Delivery Address
Delivery Instructions
Phone Number
Email Address
example@example.com
ONLINE ORDERING Email Address
example@example.com
ABN No
Is this a Pty Ltd Company, Partnership or Sole Trader?
PRIMARY CONTACT
Name: (Mr, Ms, Mrs, Miss)
Address
Position
Mobile
Email Address
example@example.com
ACCOUNTS PAYABLE PERSON
Name: (Mr, Ms, Mrs, Miss)
Phone Number
Mobile
Email Address
example@example.com
MANAGING DIRECTOR/PROPRIETOR
Name: (Mr, Ms, Mrs, Miss)
Residential Address
Phone Number
Mobile
Email Address
example@example.com
AGREEMENT
1. All overdue invoices bear interest at 7% per annum (or maximum allowed by law) on the unpaid balance. There is also a returned payment fee for any declined cheques/automatic withdrawals.
2. In the event of default of payment when due, all costs of collection, including legal fees and court costs, shall be paid by the applicant.
3. Accounts are disabled automatically when they exceed trading terms.
TRADING TERMS: Prices are NOT fixed and are subject to change

*All product discrepancies must be notified within 24 hours and stock must be returned to the driver when dropping off new stock. Restocking fees may be charged for items returned.*
PAYMENT TERMS

(Please tick which one is suitable for you)
Credit Card: Auto Charge Daily: No fees for Mastercard/Visa/AMEXCredit Card: Charged Weekly: Which means 7 days' worth of invoices paid on a weekly base, not per invoice. No fees for Mastercard/Visa/AMEX7 Day Accounts: Which means 7 days' worth of invoices paid on a weekly base, not per invoice. Payment is required within 3 days of receiving statementCOD: Cash / Bank Transfer
Bank Details:
FMD PRODUCE Pty Ltd
BSB: 034 069
Acc: 346128

Forward Remittance to admin@fmdproduce.com.au

All Invoice discrepancies must be notified to orders@fmdproduce.com.au within 24hrs
Trade References
Business Name
Contact Person
Phone Number
I, have read and agreed to the trading/payment terms of & agree that the above information is true and correct.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

CREDIT ACCOUNT APPLICATION FORM

PRIMARY CONTACT

ACCOUNTS PAYABLE PERSON

MANAGING DIRECTOR/PROPRIETOR

AGREEMENT

PAYMENT TERMS

Trade References