Members
cart Shopping Cart    You have 0 items    Checkout

Credit Application.

 Click here  to download and print :   Credit Application
                                                               :   APC Service Address  Label 
                                                               :   APC Instrument  Service Return.pdf


Rentals:

We have a wide range of gas detection available for short-term hire or long-term lease

Portable Single Gas

Portable Multi Gas

PID's

Landfill Gas Monitors

    APC_Techsafe.png
APC/Techsafe Group :  Credit Application

to download print copy (click here)

 

Account #
Office Use Only
Credit Limit
Office Use Only
APC GROUP : CREDIT ACCOUNT APPLICATION
1. Please indicate the type of organistation that the customer belongs to :
*
Company
Individual (Sole Trader)
Partnership
Trust/Incorporated Charitable Trust
Incorporated Society
Industrial and Provident Society
Building Society
Friendly Society
Other
2. If the customer is a company, please complete the following
Full Company Name*
Trading name (if applicable)
Registered address of company*
3. If you are a sole trader/partnership/trust or any other type of organisation, please complete the following
Full name (including middle names)
Date of Birth
Trading name ( if different)
4. Please provide details of officers (directors/partners or other)
Name/Titile & Address (1) Name/Title & Address (2)*
5. Please complete the details of the person acting on behalf of the customer
Person acting on behalf of organisation (full name)*
Contact address
6. Please complete the billing/communication address of the customer
Postal Address*
Physical Address*
Delivery address (if different from above)
Phone ( )*
Post Code
Email*
7. Please provide two (2) trade references/particulars
How long established / trading*
Number of staff
Name and contact of trade reference 1.*
Name and contact of trade reference 2.*
8. Please complete the following details :
ESTIMATED MONTHLY CREDIT $$*
Purchase order required*
Who pays accounts (if not above, or if branch/subsidiary)*
Accounts payable contact name*
Purchasing contact name
9. Please read the following terms and conditions of sales (details of which are on reverse of customer copy)
1) Payment in full is due by the 20th of the month following delivery of Goods. Customers failing to honour their obligations may, without notice, have their credit facility withdrawn and any negotiated price discounts revoked, and may also incur interest and collection charges.
2) This application may be subjected to credit checks and the information therein may be provided to and requested from referees and other third parties for credit approval or collection of monies owed
3) No Goods returned after 7 days. Returns must be received within 7 days quoting packing slip number.
4) Ownership of the Goods remains with the Seller and does not pass to the Purchaser until the Purchaser: a) pays the Account Owing in full and the Seller has released the Security Interest, or: b) recalls the Goods pursuant to the authority granted by these terms and conditions.
I warrant the truth and accuracy of information supplied and am authorised to agree to accept these terms and conditions on the behalf of the Purchaser and expressly acknowledge that all Goods sold by the Seller to (or for the account of) the Purchaser (whether in the past or in the future) are sold pursuant to these terms and conditions (including a security interest in favour of the Seller)
I have read the above terms and conditions of trade and hereby agree to abide by them :
*
Title*
Name*
Date*
Office Use Only
Branch :
Class
GSB (tick) Contract Code
Rep
Rep Call
Freight Code
Credit Mgr Sign
Branch Mgr Sign
In order to assist us in reducing spam, please type the characters you see:
spam control image