Section 01
Company Information
Legal Business Name
Trading Name (if different)
ABN / ACN
Date Established
Registered Business Address
Postal Address (if different)
Business Phone
Website
Industry
Section 02
Key Contacts
Primary Contact
Name
Position
Email
Phone
Accounts Payable Contact
Name
Position
Email
Phone
Authorised Signatory Contact
Name
Position
Email
Phone
Section 03
Business Structure
Select business structure
Director(s) / Proprietor(s)
Name
Address
Phone
Email
Section 04
Credit Terms Requested
Requested Credit Limit
Preferred Payment Terms
Float Fund Amount Required (est.)
Purchase Order Numbers Required with Invoices
Section 05
Bank Details (Optional)
Bank Name
Branch
Account Name
Section 06
Trade References (×2 required)
Reference 1
Company
Contact Name
Phone
Email
Reference 2
Company
Contact Name
Phone
Email
Section 07
Agreement & Terms
By signing this application, the Applicant:
- 1.Confirms that all information provided is true and correct.
- 2.Authorises Ausarm Pty Ltd (T/A Partner Plus) to make enquiries into the Applicant's creditworthiness, including contacting trade references or credit reporting agencies.
- 3.Agrees to the Partner Plus Standard Terms & Conditions of Trade ↗
- 4.Agrees to the Partner Plus Standard Float Fund Policy ↗
- 5.Acknowledges that payment terms commence from the invoice date unless otherwise agreed in writing.
- 6.Agrees that Ausarm Pty Ltd (T/A Partner Plus) retains ownership of all deliverables until payment is received in full.
- 7.Acknowledges that failure to comply with terms may result in suspension of services or withdrawal of credit.
Section 08
Authorisation
Authorised Signatory Name
Position / Title
Date
Company Stamp (if applicable)
Authorised Signature
Internal Use Only
Ausarm Pty Ltd / Partner Plus — Do not complete if submitting as applicant
Account Manager
Date Approved
Credit Limit Approved
Payment Terms
Approval Signature