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Application for Credit Account

What brand/s are you interested in purchasing








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Please enter the Canohm team member / representative who referred you
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Business details

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Please select your state
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Delivery and contact details

Delivery Address (If different to postal address)
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Sales Contact
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Accounts Contact
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Trade References

(Must be credit facility accounts – please confirm in advance with each company that they provide trade references)

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Financial Details

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Your Bank Details
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Names and Addresses of Directors (if registered company) / All Partners (if partnership) / Owner (if sole trader) / Responsible Officer (if an Association)
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Terms and Conditions

I / we undertake to comply with your credit terms of STRICTLY NET 30 days from statement unless otherwise determined by you in writing.

Retention of Title: I agree that property in any goods supplied to me by Canohm will pass to me only after all goods supplied to me by Canohm have been paid for in full. I acknowledge that Canohm reserves the right to take possession of its goods in circumstances of my / our failure to pay or insolvency.

Delivery: Our standard delivery conditions are invoice with goods to business addresses staffed 9am-5pm Monday-Friday. Delivery to residential or 3rd party addresses may be arranged on request, but additional freight charges apply and we accept no responsibility for non-delivery of goods or incorrect disposition of documents.

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All fields marked with an asterisk (*) must be completed