Credit Application | HealthyPC

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30 Day Credit Application

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Names of principal's (owner's, partner's, proprietor's)

Principal Name 1*

First Last

Principal Name 2

First Last

Principal Name 3

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP / Postal Code Country

Date of incorporation*

How long have the current proprietors owned the business?*

Nature of business*

ACCOUNTS INFORMATION

Information relating to your invoices/statements/payable amounts

Accounts contact name*

First Last

Accounts contact position*

Phone*

Email*

Email address for invoices and monthly statements*

ORDERING INFORMATION

Information relating to product orders, product queries, and sales information.

Ordering contact name*

First Last

Ordering contact position*

Phone*

Email*

Email address for order confirmations and shipping notices*

Goods invoiced by HealthyPC PTY LTD(ABN 30 126 076 837) are supplied upon the following terms and conditions and not otherwise. HealthyPC expressly rejects any conditional sales order placed by the customer unless otherwise agreed in writing.

PAYMENT TERMS:

Strictly 30 days from date of invoice unless other arrangements are made prior to an order being placed. Any monies outstanding beyond terms agreed in writing by HealthyPC may incur an interest charge of 2% per month and account suspended.

OWNERSHIP:

(1) Goods invoiced by HealthyPC to the customer remain the property of HealthyPC until payment in full has been received. HealthyPC reserves the right to retrieve their goods or goods of equal value from the customer if there is default in payment. The customer holds full liability for any goods with attached monies owing. The customer will maintain goods in the condition as received.
(2) In the event of the customer (sole trader, partnership or company) going bankrupt, into liquidation, receiver appointed or changes ownership the conditions above will continue to apply.
(3) If the purchaser (being the company) fails to pay an account by the due date its Directors will be personally, jointly and severally liable to HealthyPC.
(4) By receiving the goods, the customer wholly accepts HealthyPC trading terms and conditions.

CLAIMS:

Claims for shortages or delivery discrepancies are to be notified within seven (7) days of delivery. Claims made subsequently will not be recognised.

RETURN OF GOODS:

All goods being returned must have prior approval and corresponding invoice numbers quoted. A copy of the corresponding tax invoice must be supplied with the goods, otherwise credit or replacement will not be authorised. Freight charges incurred for goods being returned is at the cost of the sender/consignor, unless otherwise arranged and accepted by HealthyPC.

PRICING:

All prices are in Australian dollars and subject to change without notice

FREIGHT CHARGES:

HealthyPC reserves the right to charge a freight cost, on any orders below $150.00 excluding GST for the Perth Metropolitan Area. All other orders outside of Perth Metropolitan Area, regardless of value, will be subject to a freight cost at placement of order.

DEBT COLLECTION:

Should HealthyPC have to resort to using external debt collection services as a result of an outstanding and overdue account, the customer will incur whatever fees are applicable.

DECLARATION OF UNDERSTANDING

I have read and agree to abide by HealthyPC's Supplies’ General Trading Terms and Conditions of Sale (see Schedule 1 above), which include payment terms of 30 days.

Signature*

Name*

First Last

Date*

30 Day Credit Application

Company Information

Names of principal's (owner's, partner's, proprietor's)

ACCOUNTS INFORMATION

ORDERING INFORMATION

PAYMENT TERMS:

OWNERSHIP:

CLAIMS:

RETURN OF GOODS:

PRICING:

FREIGHT CHARGES:

DEBT COLLECTION:

DECLARATION OF UNDERSTANDING