1 Complete Lock and Security Services PTY LTD ABN 40 008 614 220 PO Box 565 Fyshwick ACT 2609 51 Kembla Street Fyshwick ACT 2609 PH (02) 6280 6611 Fax (02) 6239 1189 [email protected] | www.classlocks.com.au ACT Security Lic No 17501029 | NSW Sec Lic No 407750989 ___________________________________________________________________________________________________ CREDIT APPLICATION FORM Business Name: _______________________________________________________ Company Name: _______________________________________________________ Year Established: _______________________________________________________ ABN: _______________________________________________________ Street Address: _______________________________________________________ Suburb: _______________________________________________________ State: ________________________________ Post Code: _____________ Postal Address: _______________________________________________________ Suburb: _______________________________________________________ State: ________________________________ Post Code: _____________ Phone Number: _______________________________________________________ Mobile Number: _______________________________________________________ Fax Number: _______________________________________________________ ACT Master Security Licence # 17501029 NSW Master Security Licence # 407750989 2 ACCOUNTS PAYABLE DETAILS Accounts Payable Contact: _______________________________________ Email Address: _______________________________________ Direct Phone Number: _______________________________________ NAMES OF DIRECTORS/PARTNERS POSITION CURRENT TRADE REFERENCES (minimum of 3) These are your suppliers (non-utility) Company Contact TERMS & CONDITIONS (Please read carefully) ACT Master Security Licence # 17501029 NSW Master Security Licence # 407750989 Phone Number Approx $ per Month 3 I/we apply to have a credit account opened in my name/our name/the name of the Company and agree to the terms and conditions that are set out hereunder and also declare that the above facts are true in every respect. In consideration of your extending credit to the above company I/we the partners/director of the applicant do hereby jointly guarantee payment of the account and further indemnify you for the monies outstanding on the account from time-to-time. In the case of a trust company I/we acknowledge that the trustee shall be liable on the account and that in addition the assets of the trust shall be available to meet payment of the account. The terms and conditions of trading and account settlement, unless otherwise stated, are 30 days from end of month in which goods/services are purchased. Fees may be incurred should you fall outside these terms. Furthermore, if the above conditions are not adhered to, Complete Lock and Security Services PTY LTD reserves the unconditional right to withdraw credit facilities and requires payment to the full amount, excluding any agreed discount, immediately. The signing of the application is also acknowledgement and acceptance of our General Trading Conditions. Signed: ____________________________________________ Position: ____________________________________________ Date: ____________________________________________ Witness Signature: ____________________________________________ Witness Position: ____________________________________________ Date: ____________________________________________ Please send the completed form in the following ways: Original in person – 51 Kembla Street Fyshwick ACT Post to: PO BOX 565 Fyshwick ACT 2609 By fax – (02) 6239 1189 Original scanned then sent as an attachment by email to [email protected] ACT Master Security Licence # 17501029 NSW Master Security Licence # 407750989