CREDIT APPROVAL REQUEST

OFFICE USE ONLY
Account No: .............. Credit Limit: ..................

APPLICANT DETAILS:

Name: ___________________________________________________________
Residential Address:_________________________________________________
Postal Address:_____________________________________________________
Phone No: ______________________
Fax No: ________________________
Mobile: ________________________
email: __________________________
A.B.N.: ________________________
Trading Name:_____________________________________________ (if applicable)
Type of Business:_______________________________________________
Years in operation:______________________________________________

References:

Bank & Branch: ___________________________________________________
Trade References: 1.___________________________________________________Ph:_____________
2.___________________________________________________Ph:_____________
3.___________________________________________________Ph:_____________

I (name) _________________________ hereby give my permission for TAFCO Rural Supplies to make enquiries with the above bank and traders for a trading reference.
Signed:................................................................
Position (if company)...........................................
Dated:...................................