Applicant and Trading Details

Creditor

Taldara Industries Logo

Taldara Industries Pty Ltd

TALDARA INDUSTRIES PTY LTD
ACN 009 155 257
ABN 15 009 155 257
19 Dellamarta Road, Wangara, Western Australia 6065
Telephone: (08) 9409 6166
Facsimile: (08) 9309 3502
Email: accounts@taldara.com.au
Web: http://www.taldara.com.au↗ (opens in a new tab)

Application for Credit Account: 14 Days Net

By completing and submitting this form to the Creditor, the Applicant, as defined below, applies for the grant of credit facilities by the Creditor to the Applicant on the terms and conditions set out in this application.

Applicant Details

Applicant Name *

Trading Name in Full *

ABN *

ACN

Required if the Applicant is a corporation.

Accounts Contact Information

Postal Address *

Business Address *

Telephone Number *

Fax Number

Mobile Number *

Accounts Email *

Trading Details

Business Structure *

Sole Trader Partnership Private Company Public Company Trust

Type of Business *

Years Established *

Trading Bank *

Bank Branch *

Date of Incorporation

History of Insolvency

Has the Applicant or anyone associated with the Applicant been bankrupt or used Part X of the Bankruptcy Act? *

Yes No

Has the Applicant or anyone associated with the Applicant managed or controlled a business that was wound up, had administrators or receivers appointed, or entered into a scheme for the benefit of creditors? *

Yes No