Trade Application Form

Title

Firstname

Middle Name

Lastname

Phone

Address

Suburb

State

Postcode

Business Information

Business Type

Business/Partnership Name

ABN

Trading Name

Business Commenced (Date)

Principal place of business

Suburb

State

Postcode

Accounts Manager Information

Name of Accounts Manager

Title

Phone

Address Information

Date moved into Business Address

Accountant's Name

Accounting Firm Name

Phone

Address

Trade 1

Trade Name

Contact Name

Contact Email

Address

Phone

Account Opened Since

Credit Limit

Current Balance

Trade 2

Trade Name

Contact Name

Contact Email

Address

Phone

Account Opened Since

Credit Limit

Current Balance

Trade 3

Trade Name

Contact Name

Contact Email

Address

Phone

Account Opened Since

Credit Limit

Current Balance

Credit Limit Requested $

Have you or any partner or a director of the Business ever been a bankrupt?

Has the Business ever entered into a compromise with creditors?

Has the Business ever been refused credit?

Has the Business ever been placed under external administration?

Is the Business insolvent (i.e. unable to pay its debts as and when they are due)?

Is the Business the subject of any litigation?