Complete Lock and Safe Services

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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
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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
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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
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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
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