Image Temple - Credit Application Example

If you would like to download a PDF version of this application and submit the paperwork manually please download a copy of the application from the below link.

PDF Version for Manual Submission

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Account Required in - (Please select a state)

Legal Name (Company / Proprietor / Trustee)

ABN Number

ACN Number

Trading Name

Trust Name (If Any)

Year Established

How Long As Current Owner

Trading / Delivery Address

Leased

Owned

Postal Address (for statements & invoices etc)

Contact Numbers

Email Address

Website Address

1st Director / Proprietors Details

Name

Date of Birth

Home Address

Home Telephone

Mobile

Fax Number

Email:

Driving Licence Number

2nd Director / Proprietors Details

Name

Date of Birth

Home Address

Home Telephone

Mobile

Fax Number

Email:

Driving Licence Number

3rd Director / Proprietors Details

Name

Date of Birth

Home Address

Home Telephone

Mobile

Fax Number

Email:

Driving Licence Number

Accountants Name

Accountants Telephone Number

Accountants Fax Number

Accountants Email Address

Bank Name

BSB Number

Account Number

Credit Limit Sought

Estimated Monthly Spend

Trade Reference 1

Referee Company / Business Name

Telephone Number

Email Address

Trade Reference 2

Referee Company / Business Name

Telephone Number

Email Address

Trade Reference 3

Referee Company / Business Name

Telephone Number

Email Address

Please download the DECLARATION OF PURPOSE FOR CREDIT and PERSONAL GUARANTEE & INDEMNITY documents, read, complete, initial and have signed by all Directors, Partners or Sole traders (as appropriate) listed in this application and a manager will be in touch shorty to process your application.

Please download the DECLARATION OF PURPOSE FOR CREDIT and PERSONAL GUARANTEE & INDEMNITY documents, read, complete, initial and have signed by all Directors, Partners or Sole traders (as appropriate) listed in this application and upload in the space provided.

Declaration of Purpose for Credit & Personal Guarantee

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Terms & Conditions

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Credit Application Form

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