Credit Application Form

ABN 95 159 071 664
Your Company Name:
Name:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Date Business Commenced:
Date Format: MM slash DD slash YYYY
Credit Amount requested:*
Director A Name:
First Last
Director B Name:
First Last
Your Accounts Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Duration at this address:
Accounts Phone:
Directors Mobile Contact:
Accounts Email:
YOUR TRADE/BUSINESS REFERENCES (MIN2)
COMPANY NAME:
Name
Contact Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email:
Phone:
Duration trading with this business:
COMPANY NAME:
Name
Contact Name:
First Last
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email:
Phone:
Duration trading with this business:
Signature:
Name and Title:
Name Title
Date:
Date Format: MM slash DD slash YYYY
Signature:
Name and Title:
Name Title
Date:
Date Format: MM slash DD slash YYYY
Consent*
I have read and understood the agreed terms and conditions as outlined below:
AGREEMENT:

1. All invoices are to be paid on or before the 30th of the month following the date of the invoice, subject to credit references. First 2 orders are strictly Cash on Delivery basis.
2. Claims arising from deliveries must be made within 7 business days of delivery.
3. The amount of credit required for your application can be adjusted without notification by R2G (The Company) can
revoke.
4. Should the account holder pay late on 2 seperate occasions, R2G (The Company) can revoke your credit terms without any notification.
5. Interest will be charged at 2.5% per month on invoices more than 30days overdue.
6. By submitting this application, you authorise Ready To Go Furniture Pty Ltd (95 159 071 664) to make inquiries into the banking and business/trade references that you have supplied.
1. Company Name: Ready 2 Go Furniture Pty Ltd 2. Location: 77-79 Kremzow rd, Brendale, QLD 4500 Trading As: R2G Furniture 3. Phone: 07 3889 1302 4. Email: sales@r2gfurniture.com.au 5. Bank Act name: Ready To Go Furniture Pty Ltd 6. Bank Act Number: 137327311 7. Bank Act BSB#: 084929 8. Bank Name: NAB 9. Accts Payable Email: accountspayables@r2gfurniture.com.au 10. General Accounts Email: accounts@r2gfurniture.com.au 11. Accounts Contact: Symone Clair 12. Accounts Phone: 07 3889 1302 13. Order Email: orders@r2gfurniture.com.au 14. Stock & Order Phone: 07 3889 1302