Business Credit Application Form

Business Credit Application

AR Distributors Ltd
To apply for credit terms you must be currently in trade and hold a New Zealand Business Number (NZBN). We also require you to have had a trading history with us. We will contact you apon application to discuss.

Please be aware that if you lack credit references or have a history of late payments or defaults with AR Distributors, your credit application may not be approved.

Before applying for credit with us, please consider that we have Afterpay and Zip payment options availible that cost you nothing and could be a better option for your business.
Name of Applicant*

PrefixFirst NameMiddle NameLast Name
E-mail*
Phone Number *

Area CodePhone Number
Mobile Number

Area CodePhone Number
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth of Applicant*

MonthDayYear

Business Credit Application

AR Distributors Ltd
Do you currently hold credit terms with another supplier?*

YesNo
What credit terms do you hold with this supplier?*

7-Day Terms30-Day Terms20th of Month following TermsOther
Credit Reference 1*

Company Name

Address

CityZip Code

Phone Number
Credit Reference 2

Company Name

Address

CityZip Code

Phone Number

Business Credit Application