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Trade Application

1. Business Information

Company Name

ACN/ABN

Trading Name

Year Established

Phone Number

Fax Number

Business Street Address

City

State

P/Code

Postal Address same as above

Postal Address

City

State

P/Code

Nature of Business

Incorporation Date (for companies)

Builders License No.

2. Business Details

Entity Type (Tick One)

Sole Trader (Upload Drivers License) Partnership (Upload Agreement) Company (Upload Agreement) Trustee Company (Upload Agreement) *

Business Premises (Tick One)

Owned Leased Rented *

3. Names of Owners

Full Name

Address

City

State

P/Code

Phone No.

Mobile

4. Credit References

Full Name

Address

City

State

P/Code

Phone No.

Mobile

5. Credit Details

Limit Required (Per Month)

Accounts Payable Contact

Mobile/Phone

Email Address

Invoice Preference

Email Phone *