Account ApplicationChoose the type of account you would like to open with POPES.Trade Cash Account – discounted trade pricing without creditTrade Credit Account – discounted trade pricing with creditTRADE CASH ACCOUNTTRADE CREDIT ACCOUNTTRADE CASH ACCOUNT"*" indicates required fields Preferred Branch* Mitchell Phillip FyshwickPersonal Name*Billing Name**Mobile Number**Email** Street Address** Street Address City State / Province / Region ZIP / Postal Code ABN(Optional)Business Owner/Director*CAPTCHAΔ TRADE CREDIT ACCOUNT"*" indicates required fields 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 DetailsOperating Structure:* Sole Trader Partnership Private Co. Public Co. Trust OtherPreferred Branch* Mitchell Phillip FyshwickName of Entity / Trustee:*Trading Name (if any):Trust Name (if a trust):ACN (if applicable):ABN:*Business Address:*Postal Address:*Business Telephone:*Business Email Address:* Date Business Commenced:* DD slash MM slash YYYY Nature of Business:*Purchasing Contact:*Telephone No.:*Email Address:* Accounts Payable Contact:*Telephone No.:*Email Address:* Credit DetailsEstimated Monthly Spend:*Credit Limit Requested:*Details of Sole Trader / Directors / PartnersDetails of Sole Trader / Directors / PartnersFull NameDate of BirthMobile No.Driver's Licence No.Email AddressResidential Address Add RemovePlease 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 ReferencesTrade ReferencesBusiness Name:Telephone No.:Contact Person:Email Address: Add RemoveDeclaration 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; andhave 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 SoughtConsent* I/We declare that the credit sought by the Customer from the Supplier is to be applied wholly or predominantly for business purposes or investment purposes other than investment in residential property.*IMPORTANTYou 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 CodeSignature*Accepted file types: jpg, png, pdf, Max. file size: 5 MB.SignatureAccepted file types: jpg, png, pdf, Max. file size: 5 MB.Full Name (please print):* First Full Name (please print): First Title / Position:*Title / Position:Date:* DD slash MM slash YYYY Date: DD slash MM slash YYYY WARNING: THIS IS AN IMPORTANT LEGAL DOCUMENT. YOU SHOULD OBTAIN INDEPENDENT LEGAL ADVICE BEFORE SIGNING IT.Δ
