Credit Account Application Form - Ideal Electrical
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3Credit Account Application Form
If you have previously had a credit account with us, please state account number:
Section A – About your business
1.
Full Legal Name of Applicant/s:
2.
Trading Name (if different from above):
Time in Business (if less than 2 years- Personal Guarantee required):
3.
Postal Address:
4.
Delivery Address
5.
Phone:
Mobile:
Email:
Accounts Contact:
Phone:
Email:
Orders
Contact:
Phone:
Email:
6.
Statements/Invoices are sent by email, if you require a hardcopy please list address:
7.
Your preferred Ideal Electrical Branch:
8a.
Number of employees: 1 - 5
6 - 49
50+
8b.
Which catergory best describes your business:
Industrial End User
Electrical Contractor
Public (related to government and local authorities)
Retailers & Wholesalers
Private (Non-Contractor)
Industrial Integrator/OEM
Other
Data/Telco Contractor
9.
Credit applied for: $
Estimated Monthly Spend: $
Section B – Business Details
10.
Type of Business:
Sole Trader
Partnership
Limited Company
Trust
Other
11a.
Company Number:
Date of Registration:
Registered Office:
11b.
Current Owners/Directors/Partners:
Full name:
Home Address:
Date of Birth:
Section C – Trade Credit References
12.
Trade Reference of companies who extend credit facilities to you (excluding banks, telephone or power companies)
Company:
Contact:
Phone:
All sections must be completed for the application to be processed.
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Parent category: Business