30 day Account from

Image title

CREDIT APPLICATION

30 DAY ACCOUNT

Customer Trading Details

Registered Name *

Trading Name *

ABN *

Nature of Business *

Trading Address *

Suburb *

State *

Postcode *

Phone Number *

Email Address *

Name of Principal Contact *

Title *

Mobile Phone Number *

Email *

Customer Owner/Dirctor Details

1

Name *

Date of Birth *

Home Address *

Driver's License No *

2

Name

Date of Birth

Home Address

Driver's License No

Trade References

1

Company Name *

Phone *

Contact Person *

Email Address *

2

Company Name *

Phone *

Contact Person *

Email Address *

3

Company Name

Phone

Contact Person

Email Address

SIGNATURE

Signature *

Draw signature|Type signatureClear

Name *

Date *

KEY TERMS & CONDITIONS

All invoices are Direct debit from credit card or debit card and paid on the 20^th of each month.

Any claims arising from invoices must be made within seven working days of receipt of invoice.

By submitting this application, you authorise Argyle Hire to make inquiries into the banking and business/trade references that you have supplied.

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