Zova - Credit Account Application Form

CREDIT ACCOUNT APPLICATION

To be completed by Applicants - Please complete all sections and carefully read the Terms and Conditions of Trade within this application form. READ THIS BEFORE STARTING ALL DIRECTORS AND WITNESS WILL NEED ACCESS TO THIS COMPUTER FOR ELECTRONIC SIGNING. YOU MAY WISH TO SET UP A TEAMVIEWER SESSION WITH OUT OF OFFICE PERSONS SO THEY CAN SIGN. THIS FORM IS NOT ABLE TO BE EMAILED OR TRANSFER LOGIN. ONCE YOUR START IT CAN NOT BE SAVED FOR LATER.
All fields marked with * are required and must be filled.
Please verify that you are human*
Date*

MonthDayYear
Date
Customer Trading Name **
Customer Legal Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Type*

Sole Trader (first trade or $5000 payment with order) PLEASE FILL OUT PERSONAL GUARANTEE DOCUMENT AND SUBMIT ON SAME DAYPartnership (first trade or $5000 Payment with order)PLEASE FILL OUT PERSONAL GUARANTEE DOCUMENT AND SUBMIT ON SAME DAYPrivate Company ( Directors must sign .) PLEASE FILL OUT PERSONAL GUARANTEE DOCUMENT AND SUBMIT ON SAME DAY deposit maybe required.Public Company (require a letter from your CPA re Financial stability)Government ( This form is not required for a Government Body although basic information and a department purchase order before proceeding )
ABN Number*
ACN Number
Requested Credit Limit (will include work in progress and unpaid amounts)
Details of: Entity Owner /s, contacts
OWNER Name 1:*

First NameLast Name
Position:*
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
OWNER Name 2:*

First NameLast Name
Position:*
OWNER / Approved Representative:*

First NameLast Name
Position:*
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Trade References

By providing Treade references you give permission to Novaproducts Global to ring or email your supplier to ascertain relevant information.
Business Name 1*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Business Name 2*
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
I certify that the above information is true and correct and that I am authorised to make this application for credit. I have read and understand the TERMS AND CONDITIONS OF TRADE (overleaf or attached) of NAP Global Pty Ltd as trustee for NAP Global Trust trading as Novaproducts Global which form part of, and are intended to be read in conjunction with this Credit Account Application and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein. I agree that if I am a director or a shareholder (owning at least 15% of the shares) of the Customer I shall be personally liable for the performance of the Customer’s obligations under this contract.
Position *

DirectorPartnerAccountantFinance ManagerSecretary
Name*

First NameLast Name
Signature of person in above position:*

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Date*

DayMonthYear
Date
Witness To Customers Signature

You will require a witness to either provide an email signature or create a signature on this same computer. Screen sharing (via Zoom or TeamViewer) with host rights granted to the witness can also be arranged. Please note that this form cannot be shared to another computer or emailed.
Name*

First NameLast Name
Signature of person in above position:*

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Date*

DayMonthYear
Date
Should be Empty:

CREDIT ACCOUNT APPLICATION

All fields marked with * are required and must be filled.

Details of: Entity Owner /s, contacts

Trade References

Witness To Customers Signature