Trade Account Application Download Trade Application Form Or fill out the below online form Trading Name* Type of Trader* Sole Trader Partnership Trading As Legal Name First Last Partnership, Sole Trader or Company?* Sole Trader Partnership Company Address* Street Address Address Line 2 City State / Province / Region Home Phone*Mobile Phone*Email Address* Partnership 1: Address* Street Address Address Line 2 City State / Province / Region Partnership 1: Home Phone*Partnership 1: Mobile Phone*Partnership 1: Email Address* Partnership 2: Address* Street Address Address Line 2 City State / Province / Region Partnership 2: Home Phone*Partnership 2: Mobile Phone*Partnership 2: Email Address* Company Name & Number* Company Office Address* Street Address Address Line 2 City State / Province / Region Company Postal Address (if different) Street Address Address Line 2 City State / Province / Region Company Phone*Company Mobile Phone*Company Accounts Email* Principal Shareholders or Proprietors* Solicitor's Address* Street Address Address Line 2 City State / Province / Region Accountant's Name* Accountant's Address* Street Address Address Line 2 City State / Province / Region Business Activities* Trade References3 requiredReference 1 Name* Reference 1 Phone*Reference 1 Email* Reference 2 Name* Reference 2 Phone*Reference 2 Email* Reference 3 Name* Reference 3 Phone*Reference 3 Email* Persons with authority to order will be* Name of accounts payable contact* First Last This form was completed by* First Last Title* Declaration* I agreeI understand and agree that your credit terms are strictly monthly, unless specifically agreed in writing at time of purchase date, and that payment is to be made on or before the 20th of month following the invoice. DGH Work Safety & Apparel Ltd reserves the right to charge penalty interest of 2% on all overdue accounts. The ownership & property of the goods delivered remain with DGH Work Safety & Apparel Ltd until payment in full has been received, and if payment is not made by due date, DGH shall, without prejudice to any other remedies, be entitled to repossess the goods and hold them until payment in full has been received, or to resell the goods and recover from the buyer the deficiency on resale plus costs of repossession. The buyer agrees to pay any costs of recovering overdue amounts. CLAIMS: All claims and requests for credit must be made within 14 days of invoicing, with relevant invoice numbers being quoted. DGH Work safety & Apparel Ltd reserve the right to charge a restocking fee. Goods are supplied subject to all conditions, warranties and limitations implied by law, provided, however, that the extent of the company’s liability shall be limited to the replacement of the faulty products only. I/We authorise any person or company to provide such information as you may require in response to my/our credit and/or employment enquiries. I/we understand that by signing this application that I/we shall be required to honour my/our obligations to pay DGH Work Safety & Apparel Ltd within the terms & conditions as set out on each invoice for goods and services authorised by me/us to be charged to my/our account. I have read and agree to the terms of trade and hereby sign as an Authorised Officer.Signature*Title* (Company Director / Partner/ proprietor/ manager)Date* DD slash MM slash YYYY
