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Sole Traders / Individuals Full Name
*:
Registrant Email
*:
Job Title
*:
Confirmation of Authority
*:
Yes
No
Date of Authority
:
Application Agreement Yes/No
*:
This online application form must be completed by all new customers who wish to purchase goods and services on credit terms. It collects all the necessary information required by Absorb to set up your account, if your application is approved.
If your application is approved and credit terms are granted, payment will be due on or before the 20th of the month following the invoice date, without exception. Late or missed payments will result in your account being switched to a cash sale status.
Your monthly credit limit will be established based on your requested amount. Any orders exceeding this limit will require approval from Absorb's management.
Please confirm your understanding and agreement to continue the registration.
Yes
No
Sole Trader / Individual Information
Soletrader / Individual Credit Limit
*:
$500
$1,000
$1,500
$2,000
$2,500
$4,000
Physical Address
:
Are Purchase Orders Required
*:
Yes
No
Date of Birth
:
Phone Number
*:
Copy of Driver Licence (both sides)
*:
GST Number
*:
Sole Trader only
Proof of Address
*:
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