APPLICATION FOR COMMERCIAL CREDIT

The applicant described in Part 1: Customer Information ("Customer, "you," "your") applies to Multigroup Logistics Australia Pty Ltd ACN 628 757 193 ("MGL," "we," "us," "our") to supply Goods and Services on credit on the terms of this Application for Commercial Credit ("Credit Application"), which incorporates the attached Part 2: Privacy Statement, Part 3: Credit Facility Terms, Part 4: National Credit Code Declaration, Part 5: Terms of Trade, and Part 6: Deed Poll of Guarantee and Indemnity.

Please ensure that all parts of this Credit Application have been completed and signed prior to submitting your application to us. A failure to complete or sign any part of this Credit Application may result in delays in processing your application or the rejection of your application.

Upon our acceptance of your application in writing, we may agree to supply Goods and Services to you on credit on the terms contained in this Credit Application.

Customer Information
Details of Directors / partners / sole trader
Trade or business references
National credit code declaration
Acknowledgement and customer signature

Customer Information

Name of Legal Entity:

Business Type (please select): Pty. Ltd. Company Public Company Individual / Sole Trader Partnership Corporation as Trustee Individual(s) as Trustee(s) Other (Please Specify):

Trading Name (if any):

Name of Trust (if applicable):

ACN (if applicable):

ABN:

Registered Address:

Business Address:

Postal Address:

Business Telephone:

Email Address:

Date Business Commenced:

Nature of Business:

Estimated Monthly Spend:

Monthly Credit Requested:

Purchasing Contact:

Telephone:

Email Address:

Logistics Contact:

Telephone:

Email Address:

Accounts Payable Contact:

Telephone:

Email Address:

Details of Directors / partners / sole trader

Full Name:

Date of Birth:

Title / Position:

Mobile:

Residential Address:

Drivers Licence No.:

Email Address:

Director ID (DIN) No.:

Full Name:

Date of Birth:

Title / Position:

Mobile:

Residential Address:

Drivers Licence No.:

Email Address:

Director ID (DIN) No.:

Full Name:

Date of Birth:

Title / Position:

Mobile:

Residential Address:

Drivers Licence No.:

Email Address:

Director ID (DIN) No.:

Trade or business references

Business Name:

Telephone:

Email Address:

Business Name:

Telephone:

Email Address:

Business Name:

Telephone:

Email Address:

Privacy Statement

Please read our Priacy Statement here

Credit Facility Terms

Please read our Credit Facility Terms here

National credit code declaration

The Customer declares that the credit to be provided to it by Multigroup Logistics Australia Pty Ltd is to be applied wholly or predominantly for:

business purposes; or
investment purposes other than investment in residential property.

IMPORTANT

You should only sign this declaration if this credit is wholly or predominantly for:

business purposes; or
investment purposes other than investment in residential property..

By signing this declaration you may lose your protection under the National Credit Code

Signed on behalf of the Customer by:

Signature

Title / Position

Name

Date:

Acknowledgement and customer signature

You hereby apply for the opening of an account and provide the information set out in Part 1 of this Credit Application in support of your application.
By signing this Credit Application, you warrant and represent to us that:

all information provided by you in support of your application is true and correct;
you agree to the terms of the Privacy Statement contained in Part 2 of this Credit Application;
you have read and understood the Credit Facility Terms contained in Part 3 of this Credit Application;
you have executed the National Credit Code Declaration contained in Part 4 of this Credit Application;
you have read and understood the Terms of Trade contained in Part 5 of this Credit Application;
(if the Customer is a corporation) you understand the granting of a credit facility may, at our sole discretion, be conditional upon the Customer’s directors executing the Deed Poll of Guarantee and Indemnity contained in Part 6 of this Credit Application;
you understand that if your application is accepted, all Parts of this Credit Application will apply to any provision of Goods and Services to you; and
you have obtained, or had the opportunity to obtain, independent legal and financial advice prior to signing this Credit Application.

By signing this Credit Application, you accept, and agree to be bound by, all Parts of this Credit Application.
I/We, the below named persons, are authorised to sign this Credit Application on behalf of the Customer.

Signature:

Witness Signature:

Full Name:

Witness Name:

Title / Position:

Date:

Signature:

Witness Signature:

Full Name:

Witness Name:

Title / Position:

Date:

APPLICATION FOR COMMERCIAL CREDIT

Customer Information

Details of Directors / partners / sole trader

Trade or business references

Privacy Statement

Credit Facility Terms

National credit code declaration

Acknowledgement and customer signature

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