Credit Application APPLY NOW Please fill in the form below "*" indicates required fields Fill Online Form or Download PDF & Fill*Please Choose*Fill In Credit Application Form OnlineDownload PDF of Credit Application FormPlease click on the link to download pdf and forward to sales@meneghello.comApplicant 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, result in delays in processing your application or its rejection. Legal Entity Type*Please Choose Entity TypeSole TraderPartnershipPrivate CompanyPublic CompanyTrustOtherOther Legal Entity Type Applicant – Name of Entity* Applicant – Name of Trustee* Applicant – Trading Name (If any) Applicant – Trust Name (If a trust) Applicant – Legal ACN Applicant – Legal ABN Applicant – Business Address* Applicant – Postal Address* Applicant – Business Telephone* Applicant – Business Email Address* Applicant – Date Business Commenced* Applicant – Nature of Business* Purchase Contact:Applicant – Purchasing Contact* Applicant – Telephone No Applicant – Email Address* Accounts Contact:Applicant – Accounts Payable Contact* Applicant – Accounts Telephone No Applicant – Accounts Email Address* Credit DetailsCredit Details – Estimated Monthly Spend*Credit Details – Credit Limit Requested*Details of Sole Trader / Directors / PartnersPlease complete full details for ALL Directors/ Sole Trader/Partners/ Individual Trustees of the Applicant as applicable (please add an additional page if required)Sole Trader / Directors / Partners – Full Name 1* Sole Trader / Directors / Partners – Date Of Birth 1* Sole Trader / Directors / Partners – Mobile No 1* Sole Trader / Directors / Partners – Driver’s Licence No 1* Sole Trader / Directors / Partners – Email Address 1* Sole Trader / Directors / Partners – Residential Address 1* Sole Trader / Directors / Partners – Full Name 2 Sole Trader / Directors / Partners – Date Of Birth 2 Sole Trader / Directors / Partners – Mobile No 2 Sole Trader / Directors / Partners – Driver’s Licence No 2 Sole Trader / Directors / Partners – Email Address 2 Sole Trader / Directors / Partners – Residential Address 2 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.If you are an individual acting in capacity of trustee, in a partnership, or in your personal capacity as a sole trader, we require a copy of your driver licence to process your application.Trade ReferencesTrade References – Business Name 1* Trade References – Telephone No 1 Trade References – Trade Reference Contact 1* Trade References – Email Address 1* Trade References – Business Name 2 Trade References – Telephone No 2 Trade References – Contact Person 2 Trade References – Email Address 2 Trade References – Business Name 3 Trade References – Telephone No 3 Trade References – Contact Person 3 Trade References – Email Address 3 Declaration and ExecutionBy signing this Application:*Each signatory to this document warrants that they, on behalf of the Customer 1. need only sign this document if they are seeking to trade on credit terms; 2. have read, understand, and agree to the Privacy Statement; Credit Reporting and Credit Related Personal Information Policy; 3. have read, understand, and agree to the Credit Facility Terms; 4. have read, understand, and agree to the Terms of Trade, which may be found at www.meneghello.com or upon request by email to accounts@meneghello.com; 5. acknowledge and agree that this document is an agreement incorporating each of the above documents (Credit Application); 6. 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; 7. 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. I agree to Privacy PolicyDeclaration of Purpose for which Credit is Sought 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. 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 Upon successful submission of this form, you will receive an email with instructions for signing the document. Declaration and Execution – Full Name 1* Declaration and Execution – Full Name 2 Declaration and Execution – Title / Position 1* Declaration and Execution – Title / Position 2 Declaration and Execution – Email Address 1* Declaration and Execution – Email Address 2 Declaration and Execution – Witness 1 Full Name* Declaration and Execution – Witness 2 Full Name Declaration and Execution – Witness 1 Email Address* Declaration and Execution – Witness 2 Email Address Declaration and Execution – Date 1* DD slash MM slash YYYY Declaration and Execution – Date 2 DD slash MM slash YYYY NameThis field is for validation purposes and should be left unchanged.
