Waikato Sound & Lighting Account Application

Waikato Sound & Lighting Account Application
Entity Details (Full Legal Name)*
The Customer
Type Of Company*

Sole TraderIndividualPartnershipLtd CompanyCharityOther
Industry*

SchoolChurchBandDJWholesaleTradeResellerTheatreOther
Trading As
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Postal Address Is The same as Physical

Yes
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Name*

First NameLast Name
Contact E-mail*
Contact Phone Number*

Area CodePhone Number
Accounts Name*

First NameLast Name
Accounts E-mail Address *
Accounts Phone Number*

Area CodePhone Number
Purchase Order Required*

YesNo
Would you Like to Subscribe to our Newsletter*

YesNo
Accounts*

WSL RentalAV StoreWSL Service
Ways to Purchase

Online StoreEmailPhone
Estimated Monthly Purchases
Monthly Purchases
Trade References *
Company & Contact
Trade References
Company & Contact
Trade References
Company & Contact
Payment*

Cash / Pay beforeCredit card / Pay beforeCredit 7 DayCredit 20th of The Month
Credit Limit
Terms*

We have read and agree to be bound by the terms and conditions of Sales & HiresWe warrant Waikato Sound & Lighting 2010 Ltd that the above information is to the best of my Knowledge and belief true and correctI am duly authorized to enter into this application and future contracts on behalf of the customer.Extra hire charges will be made if equipment is not returned on time or in the same condition as it went out as per contract agreement.If Credit account is Selected I Provide Personal Guarantee for any monies due and obligations now due or to become due by principal debtor and agree to be jointly and severally answerable and liable.
Sign With Mouse or finger

Clear
Signed By

First NameLast Name
Time

:HourMinutesAM/PM Option
Date
Should be Empty: