Credit Application for Trade Account

Credit Application for Trade Account

with WA2GO Pty Ltd t/as Swan Ice
Credit Terms are 14 days from Delivery/Invoice Date.
Company/Business Details
Company/Business Name*
ABN*
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Business/Company Establishment Date*
Structure Type*
Bank Name*
Bank Branch Address*
Director/Owner Details
Owner/ Company Director*

First NameLast Name
Owner/ Company Director Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Owner/ Company Director Phone Number*
Please enter a valid phone number.
Owner/ Company Director Email*
example@example.com
Accounts Details
Accounts Contact*

First NameLast Name
Accounts Phone Number*
Please enter a valid phone number.
Accounts Email*
example@example.com
Ice Delivery Details
Ice Sales Contact name*

First NameLast Name
Ice Sales Contact Phone Number*
Please enter a valid phone number.
Ice Sales Email*
example@example.com
Ice Delivery Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trade References

Please provide 2 trade references that are contactable via email or phone
Company/Business Trade Reference 1 Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Company/Business Trade Reference 2 Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
1. All invoices must be paid within 14 days following the date of the invoice.

2. Any claims arising from invoices must be made within seven working days of receipt of invoice.

3. Overdue amounts will result in Stop Supply. Account will need to be Paid in Full to receive any further Deliveries.

4. By submitting this application, you authorise WA2Go Pty Ltd trading as Swan Ice to make inquiries into the banking and business/trade references that you have supplied.
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Credit Application for Trade Account

Company/Business Details

Director/Owner Details

Accounts Details

Ice Delivery Details

Trade References