CUSTOMER APPLICATION BUSINESS DETAIL: BUYING DEPARTMENT: FINANCE DEPARTMENT: 1. Trading name of business : 1. Contact person :

Transcription

1 BUSINESS DETAIL: CUSTOMER APPLICATION 1. Trading name of business : 2. Registered name of business : 3. Type of business : 4. VAT registration number : 5. Registration number of business : 6. Date of establishment of business : 7. Postal Address : 8. Delivery Address : : 9. Fax number : 10. Address : BUYING DEPARTMENT: 1. Contact person : 2. Direct Tel & Cell Number : 3. Address : FINANCE DEPARTMENT: 1. Contact person who is paying accounts : 2. Direct Tel & Cell Number : 3. Address :

2 AUDITOR, ACCOUNTING OFFICER OR ACCOUNTANT DETAILS: 1. Contact person : 2. Direct tel number : 3. Fax number : 4. Address : TRADE REFERENCES: 1. Company Name : 2. Company Name : 3. Company Name : COMPANY DETAILS: 1. Full names of Directors / Partners : ID number of the Directors / Partners 1.1) : 1.1) RESIDENTIAL ADRES : 1.2) : 1.2) RESIDENTIAL ADRES : 1.3) : 1.3) RESIDENTIAL ADRES : 1.4) : 1.4) RESIDENTIAL ADRES :

3 AGREEMENT ON PAYMENT OF ACCOUNT AGREEMENT ENTERED INTO AND BETWEEN DELI-CO (hereinafter referred to as the Creditor ) And (Name of business) (In case of CC or Company registration number required ) Or Or (hereinafter referred to as the principal Debtor ) And (hereinafter referred to as the Surety )

4 The parties hereby agree as follows 1. The Debtor agrees with the Creditor that the Debtor will settle the Creditor s account within maximum 14 days of invoice. 2. If the Debtor does not settle their account promptly and fully on or before the due date, the full debt is due and payable immediately and the Creditor is entitled to continue, without notice, any legal action in any existing court case or process or, at his discretion, to initiate new legal proceedings in any competent court. 3. If the principal debt becomes due and payable as provided in paragraph 2 above, the Creditor will be entitled to charge compound interest on the full outstanding balance at a rate equal to the prime lending rate of the Reserve Bank as announced from time to time. Any payment thereafter will be applied as follows: First, the interest accrued, thereafter the attorney and client costs, thereafter any tracing fee, thereafter the fees according to the High Court Rules, and lastly the outstanding capital amount. 4. The Debtor undertakes to notify the Creditor within 14 days of change of his or her work or residential address. 5. That the debt did not arise directly or indirectly from a credit agreement as contemplated in the National Credit Act 34 of The Surety binds himself as surety and Co-principal Debtor to the Creditor for any debt owed to the Creditor by the principal Debtor. SIGNED at to date the day of FULL NAME IDENTITY NUMBER DEBTOR(SIGNATURE) SIGNED at to date the day of FULL NAME IDENTITY NUMBER SURETY(SIGNATURE)

5 Requirements on the completion of the above form: 1. Form to be correctly completed 2. Copy(s) of Identity Document(s) ( Directors / Partners ) 3. Copy of Company VAT and registration certificate Please send completed application back to hendri@delico.co.za Hope to hear at your soonest convenience. Many thanks & Kind Regards Hendri Truter GM Thank you for completing the business application! FOR DELI-CO OFFICE USE ONLY: 1. Customer Name on Pastel : 2. Customer Code on Pastel : 3. PAYMENT TERMS : 4. Account Approved by (Person) : 5. Signature of Deli-Co Person : 6. Account Approved Date :