Credit Application

JR & PM Hall (Partnership) ABN 41 973 530 613 trading as JH Portables and Fencing (JH Portables and Fencing)
Application For Commercial Credit

"*" indicates required fields

Please Select One*

Names and Addresses of Directors/Partners/Persons carrying on business

Director/Partner (1)

Director/Partner (2)

Current Credit References (Please list three)

Reference (1)

Reference (2)

Reference (3)

Have you/your organisation ever been Refused Credit or had Credit Facilities Withdrawn?*
Credit Sought*

Persons to be contacted for Account Payments or Disputes

warrant the information supplied on this form for the purpose of me/us obtaining credit for the supply of goods and/or services from time to time is true and correct to the best of my/our knowledge. I/We agree that the provision of credit is subject to the following terms and conditions.
Clear Signature
DD slash MM slash YYYY
(For an organisation, by signing this application the signatory(s) warrant(s) that he/she/they is/are authorised to do so on behalf of the organisation) and agrees to JH Portables terms and conditions