Scaffad | Credit Application

Scaffad | Credit Application
Requestor Details
Please confirm who at Scaffad has requested you complete this application*
Business Details
Company Name*
Company ABN*
Company Legal Structure*

PrivateSole TraderPartnershipPublicTrustGovernment Org
Applications for credit by Trusts must also complete a Directors Deed of Guarantee, this will be emailed to you seperately.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Turnover (Last 12 Months)*
Year Business Was Established*
Year Current Ownership Formed*
Business Premises:*

OwnedLeased
Company Directors (Please add all company directors)*
Request Details
Account Type Requested*

Trade (30 EOM)COD
Credit Limited Requested*
Payments are strictly due on the due date listed on all invoices, an interest rate of 5% will be charged on all overdue accounts.
Trade References (Please add at least 3)*
Procurement Requirements
Purchase Orders will be issued for each order*

YesNo, we do not use Purchase Orders
Invoices are to be issued to*

General AP EmailProject Manager / Requestee Directly
Email for invoice submissions
example@example.com
Accounts Contact Details
Accounts Contact*

First NameLast Name
Direct Phone*

Area CodePhone Number
Direct Email*
example@example.com
Execution
Full Name*

First NameLast Name
Email Address*
a copy of this application will be emailed to you
Date

MonthDayYear
I/we hereby apply to Scaffad Australia Pty Ltd for credit accommodation and submit the following confidential information for this purpose.

l/we have never been bankrupt, nor have l/we ever been a Manager or Director of any company which has gone into liquidation, appointed an official manager, entered a scheme of arrangement with creditors or had a receiver and manager appointed.

I/we acknowledge Scaffad Australia Pty Ltd's conditions of service and also that payment shall be made by the due date listed on all invoices.

I / we acknowledge that accounts will be deemed overdue if payment has not been received by Scaffad Australia Pty Ltd by the due date. All accounts are placed on stop credit if payments have become and remain overdue more than 14 calender days.

I /we agree to pay any debt collector's expenses for any amount entrusted to a collector, an interest of 5% of balances overdue, and to indemnify Scaffad Australia Pty Ltd for all other costs incurred by you howsoever arising from the collections of any monies due by me/us.
Signature

Clear
internal email*
example@example.com
Should be Empty:

Scaffad | Credit Application

Requestor Details

Business Details

Request Details

Procurement Requirements

Accounts Contact Details

Execution