Credit Application

 

Please completed the details below for Spectrum Fluid Technologies accounts department to process

Date: (dd/mm/yyyy)

Complete Company Name:

Trading name:

Postal Address:

Delivery Address:

Phone number:

Fax Number:

Email address:

ABN:

ACN:

Details of Partners (If Partnership) or Details of Directors (If Proprietary Company)

Full Name:

Full Name:

Home Address:

Home Address:

Home Phone:

Home Phone:

Full name:

Full name:

Home Address:

Home Address:

Home Phone:

Home Phone:

Contact Person for Accounts:

Phone No:

Email address:

Bank Branch:

Business Account number:

Bank Manager's contact name & phone number:

Accountants Name & phone number:

CLIENT TRADE REFERENCE:(Excluding Credit Cards, Fule Suppliers, Landlord , Power & Phone)

1:

Phone:

2:

Phone:

3:

Phone:

ESTIMATED MONTHLY PURCHASES $:

DO YOU REQUIRE YOUR PURCHASE ORDER NUMBER ON OUR INVOICE?:

CLIENT DECLARATION

I certify that the above information is true and correct and that I am authorized to make this application for credit. In accordance with the Privacy Act (1988) I authorize any person or company to give information as may be required in response to credit inquiries. I have read and understand the GENARAL TERMS AND CONDITIONS OF TRADE of Spectrum Fluid Tech which form part of, and are intended to be read in conjunction with this Credit Application and agree to be bound by these conditions whereby all purchases shall be paid for by the 25th of the month following the month during which the goods were shipped to the purchaser by Spectrum Fluid Tech.

Signed:

Date:

(  Proprietor Partner Directer Authorized Signatory )

Full name:

Position: