Account Application

Choose the type of account you would like to open with POPES.

Trade Cash Account – discounted trade pricing without credit

Trade Credit Account – discounted trade pricing with credit

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Mobile Number**
    Street Address**

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    The Customer described in this document (Customer, you) applies to Popes Electrical & Data Supplies Pty Ltd (ACN 102 613 481) (Supplier, we, us) to supply Goods and Services on credit on the terms set out in this document.

    Please ensure you have completed all parts of this document before you submit your application.A failure to complete any part of this document, or to sign this document, may result in delays in processing your application or its rejection.

    Customer Details

    Operating Structure:*
    Telephone No.:*
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      Telephone No.:*
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        Credit Details

        Details of Sole Trader / Directors / Partners

        Details of Sole Trader / Directors / Partners
        Full Name
        Date of Birth
        Mobile No.
        Driver's Licence No.
        Email Address
        Residential Address
         
        Please attach a list if there are additional partners or directors. Please provide a copy of the driver’s licence (front and back) for each of the above-named persons.

        Trade References

        Trade References
        Business Name:
        Telephone No.:
        Contact Person:
        Email Address:
         

        Declaration and Execution

        Each signatory to this document warrants that they, on behalf of the Customer:
        • need only sign this document if they are seeking to trade on credit terms;
        • have read, understand, and agree to the Privacy Statement;
        • have read, understand, and agree to the Credit Facility Terms;
        • have read, understand, and agree to the Terms of Trade, which may be found at https://www.popeselectrical.com.au/terms-conditions-of-trade/ or upon request by email to accounts1@popeselectrical.com.au;
        • acknowledge and agree that this document is an agreement incorporating each of the above documents (Credit Application);
        • understand that if the Customer is a company that the establishment of a credit facility may be conditional upon the Customer’s directors each executing the Deed of Guarantee and Indemnity; and
        • have had the opportunity to obtain independent legal advice prior to signing this Credit Application and (if applicable) the Deed of Guarantee and Indemnity and have either obtained that advice or chosen not to obtain it.

        Declaration of Purpose for Which Credit is Sought

        Consent*

        IMPORTANT

        You should only sign this declaration if this credit is wholly or predominantly for business purposes or investment purposes other than investment in residential property.

        By signing this declaration you may lose your protection under the National Credit Code

        Accepted file types: jpg, png, pdf, Max. file size: 5 MB.
        Accepted file types: jpg, png, pdf, Max. file size: 5 MB.
        Full Name:*
        Full Name:

        WARNING: THIS IS AN IMPORTANT LEGAL DOCUMENT.
        YOU SHOULD OBTAIN INDEPENDENT LEGAL ADVICE BEFORE SIGNING IT.