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Trade credit application

Your business name and logo

Business details

Registered business name
Trading name
ABN or NZBN
Business address
Postal address
Phone
Accounts email
Years in business

Account contacts

Purchasing contact and email
Accounts payable contact and email
Who can place orders on this account

Credit requested

Credit limit requested
Payment terms requested
Expected monthly purchases
Purchase order number required? (yes or no)

Trade references

Reference 1: business, contact and phone
Reference 2: business, contact and phone
Reference 3: business, contact and phone

Authorisation

Name of authorised person
Position
Signature
Date

Attach your own terms of trade before sending this form. We haven’t included terms, guarantees or privacy wording, because they need advice for your business. Template from TierCommerce, tiercommerce.com.