Account Opening Credit Account Application 1Step 12Step 23Step 3 To Be Completed By Applicants Please complete all sections, once submitted we will send you the pdf for you to sign together with the terms and conditions of tradeBusiness detailsCustomer's Full or Legal Name* Trading Name (if different from above) Type of Organization* Limited Company Partnership / Trust Sole Trader / Individual Company Registration No. Date of Incorporation MM slash DD slash YYYY GST No (Enter Nil if not GST registered) Nature of Business Accountant Billing Address* Street Address Suburb City Postcode Physical Address / Default Delivery Address* Street Address Suburb City Postcode Telephone* Mobile Accounts Payable and InvoicingRequested Credit Limit Purchasing Contact Name* Account Payable Contact Name* Accounts Email* Details of Owner / DirectorsDirector’s (if Company)/ Partner’s (if Partnership)/ Owners (if Sole Trader)Director 1Director 1 Full Name* Director 1 Date of Birth MM slash DD slash YYYY Director 1 Telephone* Director 1 Home Address* Street Address Suburb City Postcode Director 2Director 2 Full Name Director 2 Date of Birth MM slash DD slash YYYY Director 2 Telephone Director 2 Home Address Street Address Suburb City Postcode Trade / Business references – (3 major suppliers)Company Name 1* Contact Name* Telephone* Company Name 2* Contact Name* Telephone* Company Name 3 Contact Name* Telephone* I certify that the above information is true and correct and I am authorised to make this application for credit.I have read and understand the Terms and Conditions of Trade (attached) of MERZ Construction Products which form part of, and are intended to be read in conjunction with this Credit Account Application and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein. I agree that if I am a director or shareholder (owning at least 15% of the shares) of the Customer, I shall be personally liable for the performance of the Customer's obligations under this contract. Signed (Customer / Applicant): ______________________________________ Name: ________________________________ Position: ______________________________ Date : _________________________________ Witness to Applicant Signature Signed : ______________________________ Name: ________________________________ Signed (MERZ) : ______________________________ Name: ________________________________ Position: ______________________________ Date : _________________________________
