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APPLICATION FOR NEW TRADING ACCOUNT

 

TO BE COMPLETED IN FULL BY APPLICANT/S

 TRADING NAME IN FULL : ……………………………………………………………………………………

  1. REGISTERED OFFICE ADDRESS :…………………………………………………………………………….

………………………………………………………………………………………………………………………

  1. DELIVERY ADDRESS :…………………………………………………………………….……………………

  2. NAME(S) & ADDRESSES OF PARTNERS/PRINCIPAL DIRECTORS :

  1. …………………………………………………………………………………………………………………….

  2. ……………………………………………………………………………………………………………………..

  3. ……………………………………………………………………………………………………………………...

  1. IS APPLICANT COMPANY AFFILIATED TO A TRADING GROUP OR HOLDING

COMPANY ? IF SO GIVE NAME AND ADDRESS OF PRINCIPAL COMPANY :

……………………………………………………………………………………………………………………….

  1. TRADE REFERENCES (LOCAL) :

1. ……………………………………………… Ph :……………………………………

2. ……………………………………………… Ph :……………………………………

3. ……………………………………………… Ph :……………………………………

BANK :…………………………………….. BRANCH :……………………….

G. NAME OF ACCOUNT/ACCTS CLERK POSITION PHONE NUMBER

………………………………………………………………………………………………………………………

  1. HAS ANY PROPRIETOR/DIRECTOR BEEN DECLARED BANKRUPT ?

(PROVIDE DETAILS) :……………………………………………………………………………………………. ……………………………………………………………………………………………………………………….

PERSONAL GUARANTEE (In the case of a company)

On considération of Phoenix9 Pty Ltd agreeing to provide the customer with credit by either the supply or by the provision of further time to pay an existing debt now due or after it becomes due or credit in any other form whatsoever, the undersigned hereby agree that they each of them jointly and severally personnally guarantee due payment of all monies or at any time hereafter owing to Phoenix9 Pty Ltd and each of the undersigned undertake jointly and severally to indemnify Phoenix9 Pty Ltd and keep Phoenix9 Pty Ltd indemnified against costs expenses and losses incurred or suffered in connection with or in relation to the supply of credit. The Undersigned acknowledge that as between Phoenix9 Pty Ltd and themselves the undersigned are liable as principal debtors and their liability shall not be lost unless release by Phoenix9 Pty Ltd in writing.

I/We declare that we have read and understood the above conditions and that the details provided are true & correct.

Signed…………………………………Position :……………………………..Date………………..

Signed…………………………………Position :……………………………..Date………………..

 

 

INTERNAL USE ONLY-PLEASE DO NOT FILL IN

TRADE REFERENCES RESULT INITIAL VALUE OF CREDIT ACCOUNT :…………………………………………

1. ……………………………………………………. 2. ………………………………………………….

CREDIT APPROVED/DECLINED/COD

 

SIGNED :…………………………………………………. ACCOUNT NO :………………………………………

 

AMOUNT OF CREDIT LIMIT ……………………………………………………………………………………………

 

 

 

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