Credit Application

Business Information

Date Business established
Registered Business Name
Phone Number:
Co Reg Number
Suburb, and Province
Importers Code
Business Trade Name
Registered Business Street Address
Fax Number
VAT Number
Postal Code

Purchasing Information

Authorised Purchaser 1

Name
Position
Email Address

Authorised Purchaser 2

Name
Position
Email Address

Authorised Purchaser 3

Name
Position
Email Address

Credit Limit Required

Please complete as this is mandatory

Payment Terms

Select applicable option
Account Number and Branch Code
Bank
Branch
Tel Number

Details of all proprietors and directors

Name
Address
Name
Address
Name
Address
ID Number
Phone
ID Number
Phone
ID Number
Phone

Trade references

Please advise if Marine INSURANCE is required

Should no mark appear indicating insurance preference, no cover will be put in place on behalf of the applicant.
The Customer has read, understood and agrees to be bound by the Terms of Supply which are available on request, or on www.amx.global Customer further agrees that credit checks will be undertaken for the credit limit in request.

Additional Required Documentation Checklist

Please upload the following documents

Copy of Company Registration Certificate / CK2 to be attached
Copy of ID books for all Directors to be attached
Copy of company letterhead to be attached
Copy of latest Annual Financial Statements / Management Accounts
Upload your documents...

Enter your keyword