Account Application

Please complete the form below or download the .pdf version here, complete and fax to 08 8952 4039. Trading Conditions 1) Goods supplied by Territory Hirex remain the property of Territory Hirex until paid for. 2) Normal accounts conditions are for a 30 day account. Goods purchased during a month are required to be paid for no later than the last day of the following month. Any exceptions only by prior arrangements with Territory Hirex. 3) A levy may be charged on any overdue accounts if deemed necessary. 4) Purchase Order numbers are required only at customers insistence. 5) Credit may be withdrawn at the discretion of Territory Hirex. Registered Company Name   Trading Name   Trading Address   Postal Address   Telephone   Fax   Email   Director/s, Partner/s, Owner/s     1. Name   1. Address   1. Telephone   2. Name   2. Address   2. Telephone   3. Name   3. Address   3. Telephone   Period Business Has Been Established   Trade References     1. Name   1. Address   1. Telephone   2. Name   2. Address   2. Telephone   By submitting this only application form Hirex Services deems you have read our trading conditions at the top of the page.