AROMASCENTS WHOLESALE

  PO BOX 333, BROWNS PLAINS BC, BROWNS PLAINS. 4118 .                         

Phone - 0413 672 175             Fax - 07 3803 7529

Email: info@aromascentswholesale.com ABN: 20 076 103 729

Please Complete and Fax back to 07-3803 7529

Credit Application for a Business Account

Business Contact Information

Title:

Company name:

Phone:

Fax:

E-mail:       SAMPLE ONLY   

Registered company address:

City:

State:

Post Code:

Date business commenced:

Sole proprietorship:

Partnership:

Corporation:

Other:

Business and Credit Information

Primary business address:

City:

State:

Post Code:

How long at current address?

Telephone:

Fax:

E-mail:

Bank name:

Bank address:

Phone:

City:

State:

Post Code:

Type of account

Account number

Savings

Checking

Other

Business/trade references

Company name:

Address:

City:

State:

Post Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

Post Code:

Phone:

Fax:

E-mail:

Type of account:

Company name:

Address:

City:

State:

Post Code:

Phone:

Fax:

E-mail:

Type of account:

Agreement

1. All invoices are to be paid 30 days from the date of the invoice.

2. Claims arising from invoices must be made within seven working days.

3. By submitting this application, you authorize Aromascents Wholesale. to make inquiries into the banking and business/trade references that you have supplied.

4. Risk passes on to the buyer upon dispatch of the goods in accordance with the contract but title of the goods shall not pass on to the Buyer until the goods are paid for in full. The Buyer Licenses the company to enter the premises where any goods are kept for the purpose of checking or exercising any rights of ownership including removal.

Signatures

Title:

Date:

Title:

Date: