Credit Application Form – Comm Air Australia

Credit Application

Provide us with some basic details so we can get your account up and going. If you have queries regarding your application, please feel free to contact one of our friendly staff.

Customer Particulars

Customer Name

Trading Name/Business Name

Business Name Registration No

ACN

ABN

Business Address

Postal Address

Delivery Address

Business Phone Number

Mobile Phone Number

Accounts Contact Person

Accounts Email

Accounts Phone

Director/Partner Information

Name of Director/Partner 1

Residential Address

Mobile

Drivers Licence Number

Name of Director/Partner 2

Residential Address

Mobile

Drivers Licence Number

Name of Director/Partner 3

Residential Address

Mobile

Drivers Licence Number

Date commenced operating the business for which credit is sort

Bank Details & Trade References

Name of Bank

Branch

BSB

Account Number

Trade Reference 1

Address

Contact Person

Phone

Trade Reference 2

Address

Contact Person

Phone

Business Premises

Owned Leased/Rented

Name of Landlord

Customers Accounting Firm

Customer Authorisation

Name of Authorised Person

Position

The person completing this Application on behalf of the Customer represents and warrants that the Customer has authorised the signing of this form and that the information provided is true and correct

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