Copyright 2009 Rubber Technologies (Sales) Pty Ltd

Credit Application

Please print this page, fill it out and fax it to us at +61 2 9623 3645
or scan and email to sales@nepeanrubber.com.au

Company Name:

ABN:

Delivery Address:

                       

Invoice Address:

Ph:

Fax:                                                                        

Email:    

Type of Business:                                       Established since:

Purchasing Contact:  

Accounts Contact:

Names & Addresses (Directors, Owners, Partners):

1.
2.
3.

Monthly Credit Limit Required: $

Trade References (Please supply FAX number):

1.

2.

3.

Conditions:
1.   All information is true and correct.
2.   Trading terms are strictly 30 days nett from date of invoice.
3.   If accounts are not paid in within the above time, any further orders
      will be C.O.D.
4.   All products remain the property of RTS until payment is received.

Signed:                              Title:                              Date:

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