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Credit Application CREDIT APPLICATION

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					                                                            CREDIT APPLICATION


SECTION A: COMPANY DETAILS

1.    Trading/Business Name:__________________________________ABN: __________________________

2.    Trading Business Address:___________________________________________________________________

3.    Phone: ________________ Fax:_________________Email: __ ____________________________________

4.    Registered Company Name: _________________________________________________________________

5.    Registered Company Address:________________________________________________________________

6.    Directors/Proprietors Names _________________________________________________________________

7.    Directors/Proprietors Private Addresses: ________________________________________________________

      ____________________________________________________________ Phone: _____________________

SECTION B: OPERATIONAL DETAILS

1. Date Established: _______________________ Premises: Owned/Rented/Leased ________________________

2. Type of Business: ___________________________________________________________________________

3. Person to Contact Regarding Account(s) Matters: __________________________________________________

SECTION C: FINANCIAL DETAILS                 TRADE REFERENCES:

      NB: Please supply valid FAX / EMAIL details (with correct area code), to
     help speed the processing of your application. Please ensure the company
      you’re providing does supply Credit References. Without this your Credit
                         application cannot be processed.

Name:                                       FAX / EMAIL : (        ) _________________________ ________________

Name:                                       FAX / EMAIL : (        ) _________________________ ________________

Name:                                       FAX / EMAIL : (        ) ________________________ ________________



Monthly credit required (approx. $); _______________________________________________________________

Bank: _____________________ At: _______________________ Account No: ____________________________

I/We understand that should a trading account be granted the settlement terms are 30 days nett and you have my/our
permission to contact any of the trade references in connection with this application. In the event that as a sole trader
or we as a partnership are incorporated under the Companies Code at a future date, I/we agree to be personally liable
for any debts incurred after the date of incorporation by the Company which results from the incorporation.

DIRECTORS SIGNATURE(S):

1. _________________________________________Print Name: _______________________________________



2. _________________________________________Print Name: _______________________________________

SECTION D: COMPANY TRUST GUARANTEES:

I/we personally guarantee payment of all debts of the Company which are resultant from the application

DIRECTORS SIGNATURE: _________________________________ DATE: ______________________________

                                 CAFE Lighting Pty Ltd : ACN: 003 460 991 : ABN: 74 620 185 286
                                  1048-1054 Canley Vale Road, Wetherill Park NSW Australia 2164
                                            PO Box 6598, Wetherill Park DC NSW 1851
                            Tel (02) 9756 0863 : Fax (02) 9756 0869 : Email sales@cafelighting.com.au

				
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