BEERTIQUE NZ LIMITED - NEW ACCOUNT APPLICATION
Please complete all information as required:
Full Legal Name:
Type of Business
Off Premise - Liquor Store/Online/Food Store
Name of Person Responsible for Ordering
Email address of Person Ordering
Authorised to Order Online with Beertique via our tradegecko platform
Purchase Order Required
Accounts Payable Name:
Accounts Payable Email:
For Limited Liability Companies (list shareholders/directors below):
References: Name, address and phone no. of TWO principal suppliers (not utility companies)
Declaration by Credit Applicant – We hereby request you open a credit account (full name of authorised person)
Director’s/Partner’s /Authorised Officer Declaration: I, being an authorised Officer of this business, do agree that payment of all accounts will be received by Beertique NZ Limited (our supplier) within your stated credit terms. I/We appreciate that adherance to this obligation is the essence of the contract between us. I/We authorise you to obtain any information that is necessary to evaluate mine/our credit worthiness. I/We accept that if we fail to pay out account, Beertique NZ Limited are authorised to pass information to an outside agent to assist in recovery.
Full Name and Title
Unit 1 - 230b Neilson Street, Onehunga, Auckland +64 9 622 2825
A copy of your responses will be emailed to the address you provided.
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