Credit application

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Business Details
Trading Name*
ABN*
Type*
Delivery Address*
Postal Address*
Telephone*
Facsimile*
Email*
Website*
Nature of business*
(e.g., Sheet metal fabrication, Heavy Fab, Architecture, etc)
Number of years trading*
Contact Details
Accounts Contact*
Telephone*
Purchase Contact*
Telephone*
Delivery Contact*
Telephone*
Bank Details
Bank*
Branch*
Telephone*
Trade References
Please provide three trade references with whom you trade with using credit facilities
Referee Name*
Phone*
Fax*
Referee Name*
Phone*
Fax*
Referee Name*
Phone*
Fax*
Credit Required
Estimated amount of credit facility required (monthly)*
*
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