Credit Application Form

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CREDIT APPLICATION FORM
COMPANY NAME:___________________________________________________
TRADING NAME:____________________________________________________
A.C.N:_______________________________A.B.N__________________________
BUSINESS
ADDRESS:__________________________________________________
________________________________________________POST CODE:_________
TELEPHONE:__________________________________FAX:_________________
MANAGING DIRECTOR:_____________________________________________
PURCHASING BUYER:_______________________________________________
CONTACT PERSON
(ACCOUNTS):______________________________________________
CURRENT BANK:_____________________________BRANCH:______________
:___________________
HOW LONG IN BUSINESS
DATE REGISTERED:________
TRADE REFERENCES:
(INCLUDING TELEPHONE NUMBERS)
1. NAME:__________________________________________________________________
ADDRESS:_________________________________________________________________
2. NAME:__________________________________________________________________
ADDRESS:_________________________________________________________________
3. NAME:__________________________________________________________________
ADDRESS:_________________________________________________________________

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