Company Name:
Trading Name:
ABN Number:
Delivery Address	Suburb                  Post Code
Post Address	Suburb                   Post Code
Accounts Payable Contact:
Email Address:
Phone No:
Fax No:
Purchasing Contact:
Email Address:

Credit limit applying for:
Directors/Owner details	Drivers license No           DOB
Trade references
Company	Phone                    Fax

Payment Terms are 30 days net from issue of monthly statement, Account with unpaid balance at 60days will automatically be placed on stop credit. Only goods with a Return Authorisation number will be accepted for repair, replacement or credit. Dispatch errors and shortages must be notified within 24 hours of receipt of goods. All goods returned for Credit must be in a saleable condition in the original packaging otherwise credit will not be issued.

I agree with the terms and conditions:

I confirm that the information provided on this application is true and correct and realise that it may be used for the purpose of assessing this “Trading Account Application”. I give my personal guarantee of payment of any monies owing to Stuart and Dunn Office Choice. I confirm that I am duly authorised to make this application of behalf of the Company/Business.

I confirm the above statement: