Application for Credit Account - ITMA

ITMA APPLICATION FOR CREDIT ACCOUNT

"*" indicates required fields

Industrial Tube Manufacturing Australia

ABN 23 297 735 975
4/873 Kingsford Smith Drive
Eagle Farm, Qld 4009
Ph: 07 3268 1956
F: 07 3268 3178

Submission Date: 17/05/2025

Account Name*

Trading Name (if differnet from Account Name)

Types of Business Structure*

SOLE TRADER

PARTNERSHIP

PROPRIETARY COMPANY

TRUST COMPANY

Business Type*

A.B.N.*

Phone*

Email*

Bank*

Branch*

Postal Address*

Street Address Address Line 2 City Region Postcode Country

Delivery Address

Street Address Address Line 2 City Region Postcode Country

Estimated Monthly Purchases*

Requested Credit Limit*

SOLICITOR

Company/Name

Address

ACCOUNTANT

Company/Name

Address

CEO/GM

Name

Contact

FOR SOLE TRADER / PARTNERSHIP ONLY

(1) Owner/Partner Name

(1) Owner/Partner Address

(2) Owner/Partner Address

(2) Owner/Partner Name

(3) Owner/Partner Name

(3) Owner/Partner Address

REFERENCES

(1) Reference Name

(1) Reference Phone

(1) Reference Email

(2) Reference Email

(2) Reference Phone

(2) Reference Name

(3) Reference Name

(3) Reference Phone

(3) Reference Email

TERMS OF TRADE: Industrial Tube Manufacturing Australia Conditions of Sale

All accounts are payable by the 25th day of the following month of receipt of goods.

Signature*

Hidden

OFFICE USE ONLY

Sales/BDM:

G/Manager:

Administration:

Logistics:

Date:

ACCOUNT NUMBER:

CREDIT LIMIT:

AREA NO:

CATEGORY:

CUSTOMER GROUP: