Chelsea Diamond Account Application
Credit application
BILLING/SHIPPING INFORMATION
Company Name: ________________________________________________
Postal Address: ________________________________________________
Street Address: ________________________________________________
Business Phone: ______________ Fax: ______________
Email: ________________________________________________
Website: ________________________________________________
BUSINESS INFORMATION
Type of Business: ______________ Director(s): ______________ ______________
CONTACT DETAILS
Buyer Name: ______________ Phone: ______________ Email: ______________
Accounts Name: ________________________________________________
TRADE REFERENCES
Reference 1: ______________ Contact: ______________ Phone No.: ______________
Reference 2: ______________ Contact: ______________ Phone No.: ______________
Reference 3: ______________ Contact: ______________ Phone No.: ______________
I/We hereby authorize you to whom this application is made, or your agents, to investigate my/our credit worthiness and will provide all information, as you deem necessary.
I/We agree to make payment in accordance with the Terms and Conditions established by Chelsea Diamond Tools Ltd, which are settled on 20th of the month following purchase.
Ownership of goods which have not been paid in full remain with Chelsea Diamond Tools Ltd. Chelsea Diamond Tools Ltd will be permitted to enter into any premises without notice to repossess any goods belonging to it.
Name: ______________ Signature: ______________ Title: ______________ Date: ______________
Chelsea Diamond Tools Ltd
12 John Glenn Ave, Rosedale, Auckland 0632
Phone: (09) 415 5505 Email: accounts@chelseadiamond.co.nz
