Layout 1

Business Name *

ABN *

Layout 2

Business Address *

Suburb *

Business State *

Business Postcode *

Account Payable Name *

Layout 3

Address *

Suburb *

State *

Postcode *

Layout 4

Telephone *

Mobile *

Type of registration (Company, Partnership, or Sole) *

If exempt from tax – Please quote Sales Tax Number:

Full Names and Address of Proprietors or Directors:

Layout 5

Name 1 *

Driver License Number 1 *

Layout 6

Address 1 *

Postcode 1 *

Phone 1 *

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Name 2

Driver License Number 2

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Address 2

Postcode 2

Phone 2

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Trading Bank *

Branch *

Layout 10

Number of year in business

Industry

Survey and Newsletter:

How did you hear about us? *

Do you want to hear about our promotions, product updates, specials offer? *

Yes
No

Email *

Layout 11

Feedback about us:

Will you be willing to recommend us?

Yes
No

Condition of Sale

Upon considering your request to open an account with BKK AUSTRALIA PTY LTD, we acknowledge receipt of all the information you have provided. Please note that all new customers will be subject to a cash-on-delivery (C.O.D) policy. BKK AUSTRALIA PTY LTD reserves ownership of the goods until payment in full has been received, and we retain the right to enter any premises where the goods are stored and repossess them without incurring liability for trespass or damages.

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Customer’s Signature: *

Date: *

In the case of a Company or Partnership, guarantees by Directors/Partners:

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Guarantor Full Name: *

Guarantor Full Name 2:

Upon consideration of your request to open an account, we, the individuals referred to above as the Guarantor, jointly and severally guarantee the timely and complete payment of all monies owed by the debtor in connection with the Credit Account. This guarantee shall remain in effect regardless of any actions, inactions, forbearances, omissions, or defaults by the debtor and shall not be voided, released, or discharged.

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Signature of Guarantor *

Signature of Guarantor 2

Witness Name *

Witness Signature *

Date 1: *

Date 2:

Account Application

BKK New Application Form

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