Account Application

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Your Details

What type of account are you applying for?*

Credit Account

C.O.D Account

Current Business Name*

Name you wish to operate the KJ Bolt account under*

Business Industry*

Name of person/s or company who own the business*

Postal Address*

Street Address Suburb State Post code Country

Delivery Address

(not P.O. Box)

Street Address Suburb State Post code Country

Phone Number*

Mobile Number

Email Address*

Credit amount you wish to apply for*

Other Amount*

KJ Bolt Store*

Your KJ Bolt Sales Representative (if known)*

Accounts Payable Details

Contact Person*

First Last

Email Address for Invoices & Statements*

Full name/s, address/s of sole trader or partners in business, or if a company full name and address of directors

BSA License Number (if applicable)

ABN Number

PLEASE NOTE: We welcome EFT deposits directly into our bank. Please ensure you use your account number, invoice number or company name as your reference when making payments into our account. Please forward a remittance to admin@kjbolt.com.au

KJ BOLT TRADE FASTENERS ACCEPT MASTERCARD, VISA AND AMERICAN EXPRESS.

Trade References

Reference 1 Email*

Reference 1 Phone*

Reference 1 Name*

First Last

Reference 1 Company*

Reference 1 Position*

Reference 1 Signature*

Reference 2 Email

Reference 2 Phone

Reference 2 Full Name

First Last

Reference 2 Company

Reference 2 Position

Reference 2 Signature

KJ Bolt Trade Fasteners Pty Ltd Account Conditions:

1. Payment terms are strictly 30 days from END OF MONTH.

2. Any account outstanding by 90 or more days will immediatley go to a debt collection agency and any commission charge will be added to the customers outstanding account. Any other costs incurred in the collection of an outstanding account, including legal expenses and other incidentals will also be added to the customers outstanding account.

3. Any goods supplied to customers will remain property of KJ Bolt Trade Fasteners Pty Ltd until the goods have been fully paid for.

4. Although we do our best to keep our customers up to date with any price changes, prices are subject to change at any time without notification.

The signing parties hereby:

1. Personally warrant the accuracy of the information contained herein and undertake jointly and severally to identify the company against any loss or damage caused to the company by reason of credit having been granted on the basis of false or misleading information contained herein.

2. Acknowledge that the company's normal terms and conditions of trade will form part of any contract between the customer and the company and agree to adhere to and abide by such terms and conditions.

3. Acknowledge that personal guarantees may be required of the directors of the applicant where it is a company.

4. Accept that by supplying any goods or services on credit the company shall be deemed to have accepted this application without any formal intimation.

Directors Guarantee (optional)

Director's Company

Director's Name

First Last

Director 1 Name

Director 1 Signature

Director 2 Name

Director 2 Signature