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Credit Application


ADI Global Distribution HONEYWELL LIMITED ABN 74 000 646 882


Please mail or fax to The Credit Manager Unit 5, 24-28 River Road West PARRAMATTA NSW 2150 Phone: 02 8837 9333 Fax:02 9891 6725


Thank you for selecting ADI as your low voltage products supplier. We wish to service you in the most professional manner possible. To establish the most reasonable credit line for your business, we need you to provide us with the following information.


Name (The Applicant): Business Names (if applicable):


Postal Address: Delivery Address Are you a:


ACN ABN


Bus Phone No. Postcode Postcode


Bus Fax No. Sole Trader Will you require monthly statements? Full Name: Yes Partnership No Company Trust Company Suggested monthly credit limit $


Please tick if you DO NOT want to receive marketing materials, ie. monthly specials Names of Owners (If Sole Trader or Partnership) or Name of Directors (If Company) Home Ph. No.


Home Address:


Home Address: Full Name:


Accounts contact: Bank Name:


Cheque Account Details: Name The applicant hereby applies to ADI Global Distribution for a credit account.


Should ADI Global Distribution accept this application, the applicant agrees that the credit account shall be subject to the terms of this application and the usual terms and condition of trade, a copy that is contained herein.


The applicant shall notify ADI Global Distribution of any change in the constitution or structure of the applicant or the sale of the business operated by the applicant and agrees that it shall continue to be liable to ADI Global Distribution for any sums outstanding on the account opened on behalf of the applicant until;


a) Written notice is received from the applicant that it has changed the constitution or structure of the sale of the business; or b) The account has been closed and ADI Global Distribution has received full payment.


The applicant agrees that the terms and conditions applying to any credit account opened in the name of the applicant and the construction and interpretation of it shall be governed by the laws of the State of New South Wales in force for the time being and from time to time, and the parties irrevocably submit general and unconditionally to the jurisdiction of the Courts of New South Wales in respect of claims, proceedings and matters arising out or in respect of the said credit account.


DATED this day of


SIGNATURE OF AUTHORISED OFFICER OF APPLICANT: PRINT NAME OF AUTHORISED OFFICER


Home Ph. No.


Sales Contact and Email Address:


Branch Number


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