Greenlands Credit Application for Business Account Form Logo
  • Business Information

    Credit Application for Business Account
  • If this credit application form is not submitted to us prior to ordering, your account terms will be set as C.O.D by default

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  • Account Payable Information

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  • If this account is terminated for whatever reason, payment in full is required within 7 days from the last delivery

  • Directors / Owners Details

    Director / Owner 1
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  • Director / Owner 2
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  • Director / Owner 3
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  • Business References

    Reference 1
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  • Reference 2
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  • Reference 3
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  • Payment Methods

  • Your nominated credit card will be debited every Friday for the balance due
  • I, hereby, authorise Greenlands to charge my credit card for the balance due

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  • Terms of Agreement

    1. The Customer hereby warrants that the information submitted is true, accurate and correct and is supplied for the purpose of obtaining credit.
    2. The Customer warrants that the person’s signatures appearing on this Agreement are duly authorised by the Customer to apply for credit and execute this agreement.
    3. The Customer agrees to adhere to the terms and conditions of this Agreement.
    4. The Customer agrees that it is not entitled to any credit facilities until it receives notice in writing from the Supplier stating that credit facilities have been given and specifying the terms and conditions upon which such credit facilities are given. Until the Customer receives such notice in writing from the Supplier any goods that are supplied by the Supplier to the Customer shall be on the basis of cash upon delivery.
    5. The signatories to this Agreement do hereby jointly and severally guarantee payment of the Customer’s account to the Suppliers. This guarantee will be a continuing guarantee unless notification is made to and agreed by the Supplier in writing.
    6. Change of Ownership-Registered particulars-The Customer shall no later than 14 days prior to any proposed Change of Ownership-change in Registered Particulars notify the supplier of the proposed Change, Alteration or addition to the customers internal structure and shall provide full details of the proposed change alteration or addition to the Supplier and the Customer shall be liable for any goods supplied by the Supplier after such change alteration or addition unless the Supplier shall have acknowledged in writing acceptance of the intended change, alteration or addition.
    7. Limitation of Liability: To the maximum extent permissible by law, the Supplier, its employees, contractors and agents, will not be liable to the Customer or any other person for loss or damage of any kind however that loss or damage is caused or arises. The Customer indemnifies the Supplier against all costs and losses from claims from third parties arising for any reason whatsoever as a result of the Customer’s resupply, use or misuse of the goods.
    8. The Customer authorises the Supplier to collect on an ongoing basis any information as may be required to evaluate the Customer’s credit worthiness. The Customer consents to the passage of information collected on to a third party who may make further enquires as to the credit worthiness of the Customer. Emails and addresses may be entered into a database and the Supplier may use this information in any media communication for future promotional, marketing and publicity purposes.
    9. The Customer agrees that risk in goods supplied by the Supplier shall pass to the Customer on delivery. However, the goods shall remain the property of the Supplier and title shall not pass to the Customer until such goods have been paid for in full. If the Customer uses or sells the goods to a third party before payment in full is made, then the Customer acts as an agent in such sake and shall receive and hold the proceeds of sale as fiduciary for the Supplier to the extent of the indebtedness.
    10. The Customer agrees that the Supplier may cease supply of goods and or close the credit facility at any time without further notice.
    11. The Supplier reserves the right, in its sole discretion, to alter these terms and conditions at any time by notice to the Customer in writing.
    12. The Customer agrees that failure to make payment by the due date renders them liable for paying an additional interest charge at the rate of 2.5% per month compounding plus all costs of debt recovery incurred by the Supplier in the recovery of any monies owed.
    13. The Customer accepts that they have two working days from receipt of goods delivered or prices charged to raise any disputes or else invoices as sent by the Supplier shall be acceptable and payable in full, also that goods purchased by Greenlands on behalf of the Customer to order cannot be returned.
    14. I/We acknowledge that if the account is overdue, the Supplier at its discretion, reserves the right to refer the account to a Mercantile Agency for collection and I/we agree that all costs chargeable by the agency (as if the account had been collected by the agency) will be added to the account. And legal costs incurred by Supplier to collect the account will be recoverable “on an indemnity basis” and will form part of the debt. 
    15. In consideration for, and to induce Supplier entering into these terms and conditions with the Customer, any signatory for a proprietary company Customer agrees that he or she shall be jointly and severally liable with the Customer for the due performance of the Customer’s obligations under these terms and conditions, and that such signatory hereby guarantees to Supplier the due performance of the said obligations by the Customer and
      also hereby indemnifies Supplier against all loses and costs (including Mercantile Agency costs and commission and legal fees and costs) caused by or resulting from the Customer’s failure to perform, or the Customer’s breach of, the said obligations.
  • By submitting this credit application, you authorise us to make inquires into the business references that you provided. You also acknowledge and agree to adhere to the terms and conditions outlined above.

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