NZ Trade Account Application Wise Trade Safety

Reseller or End-User

Date:

Company Number:

*Trading Name of Business:

*Type of Business:

*Organisation Type

Full Name of Business:

Phone:

Website:

*Trading Name of Business:

*Billing Address & Post Code:

*Delivery Address & Post Code:

Promotional Offers Contact:

Credit References - Name and contact phone numbers

*Credit Ref 1.

*Credit Ref 2.

*Credit Ref 3.

*Email Address for Invoices:

*Name of Accounts Contact:

*Email Address:

*Phone:

*Name of Purchasing Contact

*Email Address:

*Phone:

Name and Address of Accountant or Registered Office:

*Bank, Name and Branch:

*What would be your estimated annual spend with us?

*How did you hear about us?

*Terms and Conditions

I agree to the Terms and Conditions

Please read (T&C)

Name:

Position:

Phone:

Office Use Only

CCode

Source/ Ind / Type

AM / Terr

PList / CEGroup

Apply for a Trade Account in NZ

Please read (T&C)

Office Use Only

About Us

Support

Account

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Apply for a Trade Account in NZ

Please read (T&C)

Office Use Only

About Us

Support

Account