Terms 1. Payment: COD 2. This application is to be completed in full. 3. A box number only is not acceptable as Business Address. Personal/ Company/ Business/ Franchise: Account Name: * ABN Number: * Address: Street & Number: * Town/ Suburb: * State: * - Select -NSWVICSAWAQLD Postcode: * Email: Telephone Number: * Fax Number: Type of Business: * Full Name & Home Address of Proprietors/Directors of Firm, Company or Franchise: Owner/Director #1: * Owner/Director #2: Owner/Director #3: TRADE REFERENCES - FABRIC HOUSES ONLY: Please provide names & telephone/fax numbers of main suppliers to whom reference can be made. *Please note Warwick, Nettex and Marco do not provide trade references. Name * Name: Phone: * Phone: Fax: Fax: Name Name: Phone: Phone: Fax: Fax: Name Name: Phone: Phone: Fax: Fax:
