Trade Creditor Application Name of Applicant, Business Name or Government BodyTrading Name of Applicant, Business Name or Department Name (if applicable)Please specify if you are a: Sole Trader, Partnership, Company (private or public), Trust, Government or Other (please specify)If the applicant is a Trust, the full name of the Trust including as trustee for the trading entityIf a trust, the Appointor’s name, address and phone No.Physical AddressPostal AddressMain Phone No.Email Address Other InformationHow many years has your entity been trading?-Please Select-1-5 yrs5-10 yrs10+ yrsPayment Terms sort:-Please Select-7 days14 days30 daysList of Authorised Personnel (for enquiry and confirmation of any payment-related matters)Name (Accounts Payable)Contact Phone NumberEmail (for sending invoices to) Email (for accounts enquiries) Name (Purchasing)Contact Phone NumberEmail (purchasing) Name (Applicant)TitleContact NumberEmail I declare that all the above information provided is correct and that the applicant agrees to pay all invoices as and when they become due.Authorised Signatory: NameTitleDate MM slash DD slash YYYY The Name, Title and Date fields must be completed, or the application will be rejected. You agree that by completing the Name, Title and Date fields, you are making the equivalence of signing the form and that you declare that the details above are accurate and correctΔ
