Holcim Account Application and Credit Agreement

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Agreement between Holcim (New Zealand) Ltd trading as Holcim (Holcim) AND Customer (per customer details in this form)

Please note, to complete this form you will need your Company business, accounts and sales information and contact details, as well as contact details for your director(s)/owner, two guarantors, any trade references you wish to add and witness details.

Name of person completing this form? *

By continuing with submitting this application you agree to Holcim performing credit checks using a third party company. *

I Agree to credit checks being performed

Type of Product Required *

multiple

Cement Bags

Cement Bulk

Aggregate

Required

Estimated Monthly Spend / Tonnage *

Will your orders require a purchase order? *

Yes

Is this a new account or re-opening an old account? *

New Account

Re-open Old Account

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