Credit Account Application

Customer Service:
1300 52 46 11

Sales Enquiries

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Credit Account Application
Please feel free to complete the following form as first step towards obtaining your credit acccount.

Company Information:
Company / Business Name:
ACN:
ABN:
Trading as:
Billing Address:
Suburb:
State:
Post Code:
Telephone No:
Fax No:
E-mail
Trading Address:
Suburb:
State:
Post Code:
Accounts Contact Name:
Booking Contact Name:
Nature of Business:
Date Business Commenced:
Bank:
Branch:
Anticipated Weekly Spend:	.
Trade References:
1.
Contact: (name)
Phone:
Fax:
2.
Contact: (name)
Phone:
Fax:
I request Aurora Transport Services Pty Ltd to provide credit facicilties and I acknowledge the following: (please tick all)
1. Accounts are rendered each seven (7) days and are payable strictly (7) days net.
2. Accounts are subject to a Minimum Transaction Fee of $30.00 per week.
3. All invoice / statements will be e-mailed to the above e-mail address.
4. Invoice / statements will not be mailed unless requested. If requested, a fee of $2.20 (incl. GST) will be charged.
5. I have read and agree to the Terms and Conditions of Contract.
Name:
Title:
Date:
Market Research - Please indicate how you made contact with Aurora Transport Services: