Business Credit Account Application Form - ValuePrint Centre

valueprint.net.au

Business Credit Account Application Form - ValuePrint Centre

IMPORTER OF QUALITY PRINTING CONSUMABLESDIRECT SALES-BUSINESS CREDIT APPLICATION1/14 Garema Circuit Kingsgrove NSW 2208Phone: 02-9758 6598 Fax : 02-8569 1008WWW.VALUEPRINT.NET.AUTHIS APPLICATION IS FOR CREDIT ACCOUNT TO BE PROVIDED BY ENRICH STRATEGIC PTY LTD (ABN: 52 100 303 875)TRADING AS VALUEPRINT CENTRE, (“VALUEPRINT”), AND THE APPLICANT WHOSE DETAILS APPEAR BELOW.The Applicant(s) Business/Trading Name: …………………………………………………………………………………………………Registered Company Name (If applicable):…………………………………………………………………………………………………A.B.N.:………………………ACN:…………………………………… Business Registration No.:………………………………Business/Delivery Address:………………………………………………………………………………………………………………..Suburb:……………………………………………….State:…………… Post Code:………………Postal Address(if applicable):………………………………………………………………………………………………………………Suburb:……………………………………………….State:……………. Post Code:…………………Authorised Contact/Ordering Person :………………………………………………… Telephone No:………………………….Email:……………………………………………. Fax No : ………………………………………CORPORATE STRUCTURE(tick appropriate) Proprietary Limited Sole Trader Trustee Public Company Partnership Incorporated Body APPLICANTS DETAILSBusiness Premises: Owned Leased Date Business Commenced:………………………….TRADE/BUSINESS REFERENCES1. Name : …………………………………………….Telephone:……………… Fax:……………………2. Name : …………………………………………….Telephone:……………… Fax:……………………3. Name : …………………………………………….Telephone:……………… Fax:……………………MONTHLY CREDIT APPLIED FOR $.......................................1


GUARANTEE (To be completed where applicant is a company)In consideration of the provision of credit and the sale of goods and services to the customer I/we, being Director/s or other authorised officer/s of thecustomer named in the application for the credit herein, hereby agree, by the execution of this application on behalf of the customer, to guarantee toValuePrint the due and punctual payment and performance by the customer of all moneys terms and conditions contained in these terms of trade to bepaid observed and performed and I/we shall not be released from liability under this Guarantee otherwise than by the payment in full of the moneyspayable by and the performance and observance of all of the obligations of the customer under these terms of trade. This Guarantee shall be continuingand shall not be discharged by the winding up of the customer and shall bind the successors and legal personal representatives of the Guarantor.I/We charge (and where this guarantee is executed by more than one person, jointly and severally charge) as beneficial owner all freehold and leaseholdin land which I/we now have or during the currency of this agreement may acquire.EXECUTED AS A DEEDDATED the……………… Day of ………………. 20…….SIGNED SEALED AND DELIVEREDby the :(Name of Guarantor)……………………………………………….(Signature of Guarantor) :………………….………………in the presence of :(Witness Name) :…………………………………………………… (Signature of Witness) :………………………………………(Name of Guarantor)………………………………………………… (Signature of Guarantor) :……………………………………..in the presence of :(Witness Name) :…………………………………………………… (Signature of Witness) :…………………………………………3

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