Freight Forwarder Online Credit Application

The fields marked as *are mandatory.

Company Details

* Type of Company eg. Sole Trader :

* Legal Name :

*Delivery Address :

* Telephone :

* Mobile :

*E-Mail :

*Prev Postal Address (if less than 2rs) :

* Trade Name :

* Registered Office :

*Postal Address :

* Fax :

*ABN :

*Paid up Capital :

Details of Partners (if Partnership) or Directors (if Proprietary Co.)

(1)*Full Name :

*Home Address :

*Home Phone :

(2)*Full Name :

*Home Address :

*Home Phone :

Further Details

*Contact Person for Accounts :

*Solicitor's Name and Address :

*Name of Branch or Bank :

*Accountant's name and Address :

Trade References (Excl Credit Cards, Fuel Suppliers, Landlord, Power & Phone)

(1)

(2)

(3)

*Phone No :

By clicking submit you agree to the following:

I certify that the above information is true and correct and that I am authorised to make this application for credit. In accordance with the Privacy Act (1988) I authorise any person or company to give information as may be required in response to credit enquiries. I have read and understand the GENERAL TERMS AND CONDITIONS OF CONTRACT of All Cargo Logistics International Pty Ltd which for part of, and are intended to be read in conjunction with this Credit Application and agree to be bound by these conditions.