Customer Credit Application

BMS Brands Pty Ltd • ABN 50 136 180 419

Business Contact Information

Contact First Name

Contact Last Name

Phone Number

In Business Since

ABN

Trading / Company Name

Business Address

Suburb / City

State

Postcode

Company Structure

Sole Trader Partnership Limited Liability Other

Business & Credit Information

Billing Address (if different from above)

Suburb / City

State

Postcode

Credit Amount Requested

Applicant Financial Details

Bank

Branch

Bank Phone Number

Director / Owner Personal Details

Director / Owner 1

First Name

Last Name

Residential Address

Director / Owner 2 (if applicable)

First Name

Last Name

Residential Address

Declaration & Signature

I/We apply for a credit trading account with BMS Brands Pty Ltd (ABN 50 136 180 419) and declare the information supplied is true and correct. I/We authorise BMS Brands to obtain credit information and references relating to this application, and to disclose information to credit reporting bodies as permitted under the Privacy Act 1988 (Cth). I/We agree to BMS Brands' standard trading terms, including payment within the agreed terms, and acknowledge that any overdue amounts may incur recovery costs. Where the applicant is a company, the director(s) signing below personally guarantee the account. This application is subject to approval by BMS Brands.

I have read and agree to the declaration and trading terms above, and confirm I am authorised to sign on behalf of the applicant.

Signature (type full name)

Date

Title / Position

Submitted securely. A member of the BMS Brands team will review your application and be in touch.