Credit Application Form
Trading name
Business Description
Sole Trader
Partnership
Company
Estimate Commencement date of service
ABN Number
Business Address
Postal Address
Capricorn Account number
Phone:
Fax:
Trade Reference 1
Company
Contact Name:
Telephone Number
Fax Number
Trade Refence 2
Company
Contact Name:
Telephone Number
Fax Number
Parts Direct Acknowledgement Agreement
We Acknowledge that Parts Direct Pty Ltd Payment terms are 14 days from the date of invoice
I Agree
I Disagree
You must agree for the application
Name
Position
Director
Manager
Date
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