Sales Rep · AB&D

Your AB&D rep

Which AB&D rep looks after you?

Trading name *Registered company name *ABN *Nature of business *Liquor license number *

Billing address

Address line 1 *Address line 2City / suburb *

State *Postcode *

Accounts payable contact

First name *Last name *

AP phone *AP email *Statement email (optional)

First name *Last name *

Buyer email *Buyer phone *

First name *Last name *

Director email *Director phone *

Director address

Address line 1 *Address line 2City / suburb *

State *Postcode *

First nameLast name

Director emailDirector phone

Director address

Address line 1Address line 2City / suburb

StatePostcode

First name *Last name *

Delivery phone *

Delivery address (if different to billing)

Address line 1Address line 2City / suburb

StatePostcode

Special delivery instructions *

No first order will be delivered until this credit application is completed and approved.
Invoices are due for payment within 14 days of the invoice date.
Title in the goods passes to the customer only upon full payment.
The supplier may pursue recovery of any overdue amounts together with all associated costs.
Accounts more than 30 days overdue may be referred to a third-party debt collection agency.
Deliveries may be held or suspended while an account is overdue.
The customer must keep their billing and contact details up to date at all times.
Next-day delivery is subject to daily order cut-off times.
Standard delivery is charged at $5 per order.
Kegs are charged a flat delivery fee of $12.30 per keg.

I have read and agree to the terms & conditions above.I consent to signing this application electronically.

Signature *

Date of signing *

Authorised by

First name *Last name *