Account Registration

Location *

BUSINESS DETAILS

Name *

Is this Trading Name a Registered Business Name? *

REGISTERED COMPANY NAME *

ACN / ARBN *

ABN *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

BUSINESS PREMISES *

NATURE OF BUSINESS *

DATE BUSINESS ESTABLISHED *

BUSINESS STRUCTURE *

PAID UP CAPITAL OF COMPANY (if applicable) *

BANK *

BRANCH *

BSB NO. *

ACCOUNT NO. *

CONTACT DETAILS

POSTAL ADDRESS (is your postal address different to above) *

TELEPHONE *

FAX

EMAIL *

CONTACT PERSONS.

Accounts *

Email *

Phone

Accountant / Auditor *

Email *

Phone

CREDIT REQUIRED

AMOUNT OF MONTHLY CREDIT REQUIRED $ *

CREDIT REQUIRED

Name *

Address *

Address Line 1

City

State / Province / Region

Phone *

DATE OF BIRTH *

DRIVERS LICENCE NO *

Name (copy) *

Address (copy)

Address Line 1

City

State / Province / Region

Phone (copy)

DATE OF BIRTH (copy)

DRIVERS LICENCE NO (copy)

TRADING REFERENCES

Name *

Address

Address Line 1

City

State / Province / Region

Address

Address Line 1

City

State / Province / Region

Address

Address Line 1

City

State / Province / Region

Address

Address Line 1

City

State / Province / Region

PHONE

Phone

EMAIL *

The Applicant applies to Industrial Laser Cutting Pty Ltd t/as ILasercut for credit. ABN 81 270 326 516
The Applicant acknowledges receipt of and accepts the Terms and Conditions of Sale and acknowledges that the Terms and Conditions may be
changed by Industrial Laser Cutting Pty Ltd t/as ILasercut from time to time. Our terms and conditions can be found on our website.
I/We warrant that I am/We are authorised to sign this Credit Application on behalf of the Applicant.

NAME (Block letters) *

POSITION *

DATE *

NAME (Block letters) (copy) *

POSITION (copy)

DATE (copy)

CORPORATE TRUSTEE

Where the Applicant makes this application as a Trustee, it warrants and declares that it has the power and authority to mak e and
execute this Credit Application and that all rights of indemnity which it now has or may have in the future or may otherwise have
against the property of the Trust of which it is a Trustee or beneficiary or both, have not been modified or excluded as a result of any
act, matter or document made or executed by it or as a result of any breach of fiduciary duty or in any other way. It warrant s and
declares further that it is has not released and shall not release in the future and shall not cause or permit to be released, lost or
diminished in any manner whatsoever, any such rights of indemnity.

NAME OF TRUST *

Name *

ADDRESS OF TRUSTEE *

Address Line 1

City

State / Province / Region

Date / Time

NAME OF SETTLOR *

BENEFICIARIES OF TRUST

PERSONAL GUARANTEE AND INDEMNITY

I/We note that the trading Terms and Conditions have been provided to us by Industrial Laser Cutting Pty Ltd t/as ILasercut and that I/We have read and
understood them. In consideration of Industrial Laser Cutting Pty Ltd t/as ILasercut supplying goods on credit to the Applica nt:
I/We (and if more than one, jointly and severally) agree that if the Applicant at any time fails to pay any money due to
Industrial Laser Cutting Pty Ltd or fails to perform or observe any term or condition of credit or sale to be performed by th e Applicant,
I/We will forthwith pay to Industrial Laser Cutting Pty Ltd all money due and payable by the Applicant (or any subsequent own er of the business
name of the Applicant) to Industrial Laser Cutting Pty Ltd. No demand by Industrial Laser Cutting Pty Ltd for payment shall be necessary. I/We
further agree to indemnify Industrial Laser Cutting Pty Ltd against any loss of money due to Industrial Laser Cutting Pty Ltd by the Applicant under
or relating to any sale by or credit granted by Industrial Laser Cutting Pty Ltd to the Applicant (or any subsequent owner of the business name of
the Applicant) including expenses and legal costs associated with the collection of outstanding monies and including any loss suffered by
Industrial Laser Cutting Pty Ltd as a result of the Applicant's failure to perform or observe any term or condition of credit or sale.
I/We (and if more than one, jointly and severally) agree that this Guarantee and Indemnity is a continuing Guarantee
and Indemnity and will not be invalidated, released or discharged by any event which would or might so invalidate,
release or discharge the Guarantee and Indemnity, including (but not limited to) the giving of time, the variation of the
terms and conditions of credit or sale, the alteration of the composition of the Applicant or the release of the Applicant or
any co-guarantor. I/We understand this Guarantee and Indemnity binds Me/Us personally.

WITNESS NAME (Block letters) *

DATE *

WITNESS NAME (Block letters) *

DATE

Account Registration

BUSINESS DETAILS

CONTACT DETAILS

CREDIT REQUIRED

CREDIT REQUIRED

TRADING REFERENCES

CORPORATE TRUSTEE

PERSONAL GUARANTEE AND INDEMNITY

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