Trade Credit Application

Apply for a trade account with InstroDirect. Complete the application below and our accounts team will review it. Fields marked required must be completed. Approval and credit terms are at InstroDirect’s discretion and may require a director’s personal guarantee.

Business details

Legal / registered entity name

Trading name (if different)

ABN

ACN (if a company)

Entity type

Date business commenced

Years trading

Nature of business / sector

Website

Addresses

Registered business address

Billing address (if different)

Delivery address (if different)

Accounts & invoicing

Accounts payable contact

Accounts email (invoices)

Phone

Order acknowledgement email

Statement email

Directors / owners

Director / owner 1 - full name

Director 1 date of birth

Director / owner 2 - full name

Director 2 date of birth

Credit requested

Credit limit requested (AUD)

Expected monthly spend (AUD)

Payment terms requested

Trade reference 1

Business

Contact name

Phone / email

Trade reference 2

Business

Contact name

Phone / email

Financial standing declaration

Are the business group taxes, GST, employee entitlements (incl. super), council rates and other taxes paid up - NOT in arrears and NOT under any payment arrangement?

Yes - all current

Arrears/arrangement with the Australian Taxation Office?

Arrears/arrangement with State Revenue Office?

Arrears/arrangement with any other statutory authority?

Arrears/arrangement with any supplier?

Proceedings against the business in the last 2 years for non-payment?

Insolvency disclosure

The business or any director has been in external administration, liquidation or bankruptcy in the last 5 years.

Declaration & consent

Privacy notice. Endless Process Automation Pty Ltd, trading as InstroDirect, collects the information in this form to assess your trade credit application, verify your identity and references, and manage your account if approved. We may disclose information to credit reporting bodies and your nominated referees for these purposes. We handle your information under the Privacy Act 1988 (Cth) and the Australian Privacy Principles. Contact privacy@instrodirect.com.au to access or correct your information.

Declaration

I declare the information provided is true and complete and authorise InstroDirect to contact the references and verify these details.

Terms of Sale

I have read and accept InstroDirect's Terms of Sale.

Personal guarantee

As a director/owner I agree to provide a personal guarantee for amounts owing on this account (where applicable).

Privacy consent

I have read the privacy notice and consent to InstroDirect collecting and using my information as described.

Signed - full name of authorised person

Position

Date

Trade Credit Application

Business details

Addresses

Accounts & invoicing

Directors / owners

Credit requested

Trade reference 1

Trade reference 2

Financial standing declaration

Declaration & consent

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