Account customer details
Business details
Years trading Date of incorporation No. of employees
Type of business
No. of locations Own building     Lease Last year turnover $    This year exp. t/over $
Personal details
Director's name Private address Years at address D.O.B Home phone
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Trade reference
Company name Contact name Address State Yrs trading Phone Email
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I/We offer this information for the purpose of obtaining commercial credit and warrant that the information is correct. I/we hereby authorise IntelliTrac Pty. Ltd. as Trustee for the Calapai Family Trust trading as IntelliTrac ABN 31-238-398-354 to investigate the references listed pertaining to my/our credit and carry out any further investigation, including obtaining information from a credit reference agency. I/We hereby guarantee the due performance of the terms and conditions appearing and I/we hereby guarantee to you the payment of any monies advanced by the way of credit. This deed shall be a continuing guarantee to the Supplier for all debts whatsoever contracted by the customer with the Supplier in respect of goods to be supplied to it. The Supplier shall be at liberty without notice to me/us and without any way discharging me/us from liability hereunder grant time or other indulgence to the said customer and to accept payment from it in cash or by other means of negotiable and to treat me/us in all respect as thought I/we were jointly and severally jointly and severally liable with it to the Supplier instead of being merely surety for it.
Name   Position   Signature
 
  Date