CREDIT ACCOUNTAPPLICATION FORM - Gold Coast Racking

Gold Coast Racking

Efficient Australia-Wide Delivery with Cost-Effective Service and 24/7 Live Chat Support

Call Us: 0449030803

Email Us: sales@goldcoastracking.com.au

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About Us
Our Products
Blog
Shop Now
Contact Us

CREDIT ACCOUNT APPLICATION FORM

Australia’s largest independent distributor of fastening products & industrial supplies

Excellent Quality

Wide Product Range

Best Service Support

Competitive Pricing

Credit Account Application Form

"*" indicates required fields

REQUEST / REFERENCES

Last Name:*

First Name*

Middle Name:

Title:*

Company/Business Name:*

Business Address: (Do not enter PO Box)*

City:*

State:*

Postcode:*

Type of Business:*

Agriculture

Manufacturing, Engineering & Maintenance

Roofing, Cladding, Sheds & Garages

Construction & Building

Marine

Structural Steel/Fabrication

Electricity/Gas/Water Supply

Mining

Transport/Automotive

Food & Beverage

Oil & Gas

Wholesale & Reseller

Government, Defence & Councils

Plumber, Air Conditioning, Fire

Other

Other Type of Business:

In Business Since:*

Legal Form of Business*

Corporation

Partnership

Sole Trader

Gov’t/State Authority

Other

Enter Other Legal Form of Business:

Ultimate Holding Company:*

ACN:*

ABN:*

Postal Address: (If different from above)*

City:*

State:*

Postcode:*

Email Address ‘Business’:*

Email Address ‘Accounts’: (If different from business email)*

Website:*

Tel:*

Fax:*

Bank Name:*

BSB:*

Account No.:*

REQUEST / REFERENCES

Amount of Credit Requested $:*

Expected Monthly Spend $:*

Name of Credit Reference:*

Contact Person:*

Monthly Spend $:*

Tel:*

Email:*

Amount of Credit Requested $:*

Expected Monthly Spend $:*

Name of Credit Reference:*

Contact Person:*

Monthly Spend $:*

Tel:*

Email:*

GUARANTEE

Customer*

Registered Company Name:*

ACN/ABN:*

Witness:*

Guarantor Name:*

Date:

Month

Day

Year

We are an Australian based company, providing one of the best warehouse storage solutions and racking systems.

Jemss Trading Pty Ltd
ABN: 57 656 410 641
QBCC No: 15413677
Post: PO Box 68 Chirn Park 4215

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Cantilever Racking
Cattle Yard
Garage Shelving
Gondola Shelving
Horse Round Yard
Pallet Cage
Pallet Racking

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Contact Us

044 903 0803
sales@goldcoastracking.com.au

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