Trade Account Application Form

Trade Account Application Form

Complete this form to set up your trade account and manage billing details.
Business Name
Trading Name (if different)
NZ Company Number (if applicable)
GST Number (if applicable)
Primary Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: e.g. 021 234 5678.
Email Address
example@example.com
Accounts Email Address (if different)
accounts@example.com
Business Address

Street Address

Street Address Line 2
CitySuburbPost Code
Accounts Payable Requirements / Purchase Order Information
Payment Terms: 20th of the month following invoice date unless otherwise agreed in writing.
Please agree to the following
By signing below, I confirm that I am authorised to apply for credit on behalf of the applicant and that I have read and agree to the terms above.
Signature
Should be Empty:

Please agree to the following