Credit Application Form

To apply for a line of credit, please fill out the form below,
NB: We value your privacy and will not share your information with any third party unless required for approval of your application

Accountants Contact Information

Accounts Contact:*

Company Name:*
ABN:*
Accounts Phone Number:*
Accounts Fax Number: (Not Required)
Accounts email:*

Mailing Address:*

Date Business Commenced:*
Credit Line Requested ($):*
Company Type:*
If Other, Please Specify:

Business Credit Information

Principal/Partner/Officer/Director(s):*

Street Address:*

How long at current address?*
Phone Number:*
Fax Number: (Not Required)
Email:*

Bank Name:*

Bank Address:*

Bank Phone Number:
BSB Number:*
Account Number:*

Business/Trade References

Reference #1

Company Name:*

Address:*

Reference #2

Company Name:*

Address:*

TERMS & CONDITIONS OF CONTRACT FOR CHILL REFRIGERATED COURIERS

All invoices are to be paid 7 days from the date of the invoice.
Claims arising from invoices must be made within 2 working days of delivery and an authorisation number is required to be obtained from Chill Refrigerated Pty Ltd and quoted for the claim to be processed.
There is a return payment fee for any declined cheques/automatic withdrawals of $50 per event.
In the event of default of payment when due, all costs of collection, including legal fees and court costs, shall be paid by the applicant.
Any credit extended to the applicant may be reduced or eliminated in the event Chill Refrigerated Pty Ltd, in its reasonable discretion, determines that the applicant’s financial situation or ability to pay is impaired.

By submitting this application, you authorise Chill Refrigerated Pty Ltd to make inquiries into the banking and business/trade references that you have supplied.

* I have read and hereby accept, understand and agree to the terms and conditions of Chill Refrigerated Couriers Pty Ltd.