THIS APPLICATION IS FOR A CREDIT ACCOUNT TO BE PROVIDED BY INDUSTRIAL SHED PTY LTD AND THE APPLICANT WHOSE DETAILS APPEAR BELOW.
The Applicant(s) Business/ Trading Name:
*
Registered Business Name
ABN:
*
Australian Business Number (ABN)
ACN:
*
Australian Company Number (ACN)
Phone No:
*
Business Phone Number
Alternate No:
Fax Number | Mobile Number
E-mail:
*
example@example.com
Corporate Structure:
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Proprietary Limited
Sole Trader
Partnership
Public Company
Trustee
Other
Date Business Commenced:
*
-
Month
-
Day
Year
Date
Directors | Proprietors | Partners Details:
*
First Name
Last Name
Directors | Proprietors | Partners Details:
*
First Name
Last Name
DOB:
*
-
Month
-
Day
Year
Date Of Birth Of Director
DOB:
-
Month
-
Day
Year
Date Of Birth Of Director
Mobile Phone No:
*
-
Area Code
Phone Number
Mobile Phone No:
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shipping / Delivery Address:
*
As above
Multiple locations
Other
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Applicants Financial Details:
Contact | Accounts Payable:
*
First Name
Last Name
Accounts Phone No:
*
undefined
Email:
*
example@example.com
Correspondance:
Invoice/s Emailed
Monthly Statement Emailed
Contact | Orders & Sales:
*
Contact Name #1
Contact Name #2
Order & Sales Phone No:
*
Phone No | Contact #1
Order & Sales Phone No:
Phone No | Contact #2
Email:
*
example@example.com
Correspondance:
Purchase Order Required
Invoice/s Emailed
Invoice/s With Goods
Delivery Confirmation
Monthy Credit Request:
*
$1,000
$5,000
$10,000
$20,000 +
Other
Type of Account:
*
Please Select
Due On Receipt
Net 15 Days
30 Days End Of Month
Progressive Payment Terms
Payment Terms For Industrial Shed Account
Preferred Payment Method:
*
Direct Debit
Bank Transfer (EFT - Electronic Funds Transfer)
Credit Card Payment
Paypal or Other Digital Waller
Payment Plans
Other
Direct Debit Authority:
I/We authorise INDUSTRIAL SHED PTY LTD to arrange for funds to be debited from my/our nominated account at the financial institution identified below, as per the terms of this agreement.
Financial Institution:
Financial Institution Name
Account Name:
Name on Account
BSB #
000 - 000
Account #
Account Number
Credit Card Payment Authority:
I/We authorise INDUSTRIAL SHED PTY LTD to charge the credit card listed below for any outstanding balance on my/our account as per the terms of this agreement.
Cardholder Name:
Cardholder Name
Card Number:
Card Number
Expiry Date (MM/YY)
Expiry Date
CVV (Security Code)
CCV
Card Type:
Please Select
Visa
Mastercard
Amex
Other
Visa | Mastercard | Amex | Other
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Trade/ Business References:
Reference #1:
*
Trade/ Business Name
Reference #2:
*
Trade/ Business Name
Type of Account:
*
Please Select
Due On Receipt
Net 15 Days
30 Days End Of Month
Progressive Payment Terms
Payment Terms For Existing Account
Type of Account:
*
Please Select
Due On Receipt
Net 15 Days
30 Days End Of Month
Progressive Payment Terms
Payment Terms For Existing Account
Phone No:
*
Business Phone Number
Phone No:
*
Business Phone Number
Account Manager | Sales Rep Phone No:
-
Area Code
Phone Number
Account Manager | Sales Rep Phone No:
-
Area Code
Phone Number
E-mail
example@example.com
E-mail
example@example.com
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Agreement Acceptance for Industrial Shed Pty Ltd Credit Application:
Please review the terms and indicate your agreement by checking the relevant boxes below.
*
I/We agree to the terms and conditions of credit as outlined by Industrial Shed Pty Ltd, including payment terms, credit limits, late payment policies and any additional conditions specified in this application.
I/We agree to authorise Industrial Shed Pty Ltd to conduct creditworthiness assessments, including external credit checks and understand that the information will be used solely to evaluate and approve this credit application.
I/We agree to promptly notify Industrial Shed Pty Ltd of any changes to business name, ownership, structure or contact details to maintain the accuracy of account records.
I/We acknowledge and agree that all goods supplied by Industrial Shed Pty Ltd remain the property of Industrial Shed until full payment for the goods has been received by Industrial Shed Pty Ltd.
I/We agree that in the event of non-payment or overdue balances, Industrial Shed Pty Ltd reserves the right to engage in debt collection processes, including third-party collection agencies or legal action, to recover outstanding amounts.
I/We understand that any costs associated with debt recovery, including legal fees, will be my/our responsibility.
Director | Proprietor | Partner:
*
First Name
Last Name
Authorised Signatory:
*
Date
*
-
Month
-
Day
Year
Date
Authorised Business Represenative:
*
First Name
Last Name
Authorised Signatory:
*
Date:
*
-
Month
-
Day
Year
Date
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