Dasco Auto Electrical Parts Catalogue 1st Edition - page 227

Trading Account/Credit Application Form
Please complete ALL sections so your application can be processed without delay
Trading Name
Date Registered
Business address
Postal address
Postcode
Phone No
Fax No
Email address
ABN
ACN
Type of Business
Are Official Orders to be issued for all Purchases YES / NO
Contact Name for Accounts Payable
Phone No
Fax No
Email
(Statements will be emailed)
Name of Person Responsible for Purchasing
Phone No
Fax No
Email
Anticipated Monthly Purchases
Company / Partnership / Sole Trader / Trust
Date Registered
Registered Office
Full Names and Address of Directors / Proprietors / Partners
Name
Address
Contact Ph No
1
2
3
Trading Bank
Branch
1
Trade reference
Contact Name
Phone
2 Trade reference
Contact Name
Phone
3 Trade reference
Contact Name
Phone
Please DO NOT give Coventry’s as a reference.
14 Charles St, Bentley, W.A, 6102
Phone: (08) 9258 7884 Fax: (08) 9458 1379
ABN 96 596 234 852
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