Credit Application For a Business Account

BUSINESS CONTACT INFORMATION

Contact Name :

Company Name:

Phone :

Fax :

Email :

Registered Company Address :

City :

State :

Postcode :

ABN :

Type of Company :

Company Name:

Address :

City :

State :

Postcode :

Phone :

Fax :

Email :

Type of Account :

Company Name:

Address :

City :

State :

Postcode :

Phone :

Fax :

Email :

Type of Account :

All invoices are to be paid 30 days from the date of the invoice.
Claims arising from invoices must be made within 30 working days.
All overdue invoices bear interest at 3% per month (or maximum allowed by law) on ageing unpaid balances. There is also a $30 AUD returned payment fee for any declined cheques/automatic withdrawals.
In the event that unpaid accounts are to be collected , all costs of collection, includin g legal fees and court costs, shall be paid by the applicant.
Any credit extended to the applicant may be reduced or eliminated in the event Amaya Pty Ltd, in its reasonable discretion, determines that the applicant’s financial situation or ability to pay is impaired.
By submitting this application, you authorise Amaya Pty Ltd to make inquiries into the banking and business/trade references that you have supplied.

First Reference Title :

Second Reference Title :