48C Parkway Drive, Rosedale 0632, Auckland
PH : 09-4880499, Email : info@eurosalonsupplies.co.nz
www.eurosalonsupplies.co.nz

CREDIT ACCOUNT APPLICATION FORM

SALON DETAILS

Trading Name* :

Legal/Company Name :

Street Address* :

Suburb* :

City :

Region :

Postcode* :

Delivery Address :

Suburb:

City:

Region:

Postcode:

Phone No* :

Mobile No* :

Email address for Billing* :

Confirm Email address* :

Trading Since* :

Type of Entity :Sole TraderPartnershipRegistered Company

BUSINESS OWNER DETAILS

Names and Addresses of Directors/Owners

First Name (1)* :

Last Name (1)* :

Date of Birth (1)* :

Drivers Licence No (1)* :

Address (1)* :

First Name (2) :

Last Name (2) :

Date of Birth (2) :

Drivers Licence No (2) :

Address (2) :

(NOTE : Please send via a separate email, a copy of the Drivers Licence(s) to info@eurosalonsupplies.co.nz)

CREDIT REFERENCES

Company (1) :

Phone (1) :

Company (2) :

Phone (2) :

Company (3) :

Phone (3) :

GUARANTEE

I/we hereby acknowledge that this credit account is provided on the understanding that payment for goods supplied by Euro Salon Supplies Limited will be paid on the 20th day of the month following purchase.

I/we hereby authorize Euro Salon Supplies Limited to refer this application to the credit references provided, and/or any other agency Euro Salon Supplies Limited consider necessary to satisfy their credit screening requirements.

I/we personally guarantee to pay all monies owing in respect of the purchase of goods from Euro Salon Supplies Limited, including any collections costs and expenses that may be incurred by Euro Salon Supplies Limited in effecting collection of any overdue accounts.

I/we have read, understand and agree to the Euro Salon Supplies Limited Trade Terms and Conditions, which have been made available to me as part of this online credit account application.

Guarantor Details

First Name* :

Last Name* :

Email* :

Mobile* :

Phone* :

Date* :