Flyma Australia

                 13 Harris St. Condell Park NSW 2200

                           Phone: 02-9771 2088

                            Fax:   02-9771 2057

 

           APPLICATION FOR CREDIT ACCOUNT

Company Details

Company Name

 

Trading Name

 

Business Address

 

P/Code

 

Delivery Address

 

P/Code

 

Postal Address

 

P/Code

 

Phone No.

 

Fax No.

 

ABN. No.

 

ACN. No.

 

 

Directors/Partners Name and Address

Surname

First/Given Name

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Account Details

Bank

 

Branch

 

BSB No.

 

Account No.

 

 

 

Credit Reference (Minimum of Three)

Name

Phone No.

Fax No.

 

 

 

 

 

 

 

 

 

 

Hereby make application on behalf of our company to open a trading account in its name and

agree to pay all debts incurred by us with your company within the agree trading terms which are

strictly net 30 days, payment in full by end of month following date of statement.

 

      SIGNED:__________  POSITION:___________ DATE:__________