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Business Information

Registered Business Name *

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Type of Business *
Sole TraderPartnershipCompanyLimitedPty LtdTrust

Contact Person *

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Registered Business Address *

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Suburb *

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State *

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Postcode *

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Country *
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ABN

ACN

Office Phone

Mobile Phone

Email Address *

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Website

Opening Hours

Delivery_Instructions

Do you have a Forklift?
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Credit Application Information

Account Type Required *
(Request only. Period given at WHG discretion.)
'Prepaid' does not require trade references.
PrepaidCOD7 Days14 Days30 Days

Name of Owner/Principal/Partner *

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Estimated Monthly Spend *

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Phone

Mobile Phone *

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Email Address

Drivers Licence Number

Date of Birth *

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Home Address *
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Suburb *
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State *
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Postcode *
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Home Status
OwnedRentedMortgagedOther (Please specify)

How long have you lived at your current address? *
Decimal fraction or whole number of years.

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Read our Privacy Policy

Read our Privacy Policy

We collect your personal information so we can assess your application for a Wholesale Horticultural Group P/L Credit Account. We will be unable to assess your application or provide you with access to a Business Credit Account without all or part of the personal and other information we require. In order to assess your application for credit you hereby consent to your personal information being disclosed to third parties. This may include disclosure to credit reporting agencies (e.g. Equifax), companies who provide commercial credit references, people you authorise us to contact in connection with this application or any approved Business Credit Account, mercantile agencies and other companies who provide outsourced services to us. Subject to certain exceptions allowed by law you may request access to your personal information while it is stored by us. We will give you reasons where we deny access. We will not share your information with any Marketing or unmentioned third parties. We may use your personal information to tell you about our promotions, products or services we think may be of benefit to you. Agreement *
I have read, understand and agree to the Conditions of this Application Form and WHG Terms & Conditions
Yes
Please tick that you agree to our Terms of Trade
True and Correct Information *
I declare that the information provided by me in this application is true and correct
Yes
Please tick that everything is True and Correct

Name *

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Title * eg. Director, Partner, etc.

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