Request Trade Account

 

If you would like to request a trade account or login-in ability, please complete the form below.
*Subject to availability.

 

Business Contact Information

Company Name *
 
Date Business Commenced
 
Registered Company Name *
 
Company Type *
 
Physical Address *
Postal Address *
Mobile *
 
Email Address - Send Me Copy *
 
Company Registration *
 

Business and Credit Information

Directors/partners, names and addresses *
Directors/partners, names and addresses
Directors/partners, names and addresses
Person who handles accounts and contact number *
Person who handles purchasing and contact number *
Bank Name *
 
Bank Branch *
 
Bank Contact Number *
 
Accountants Name *
 
Accountants Contact Number *
 
 

Business/Trade References

 

Reference 1

Company Name
 
Address
City/Town
 
Phone Number
 
Fax Number
 
Email Address
 
 

Reference 2

Company Name
 
Address
City/Town
 
Phone Number
 
Fax Number
 
Email Address
 
 

Agreement

  1. Payment of all goods and services is strictly 20th of the month following delivery date.
  2. Claims arising from invoices must be made within seven working days of delivery.
  3. All goods returned must be freight paid and the invoice number quoted, a restocking fee may apply.
  4. By submitting this application, you authorize Waikato Cleaning Supplies Limited to make inquiries into the banking and business/trade references that you have supplied.
  5. All goods remain the property of Waikato Cleaning Supplies Limited until payment has been received. The company reserves the right to enter any property and uplift the said goods.

Name & Title *
 
Date *