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Stella Products Australia ABN 48 611 869 580
37 – 39 Musgrave Rd
Coopers Plains QLD 4108
Telephone: (07) 3277 1178
Email: accounts@stellaproducts.com.au

Credit Application

For Individuals

Individual Date of Application

(Day/Month/Year)

Individual Full Name

Individual Trading Name

Individual ABN

Individual Date of Birth

Individual Phone Business

Individual Phone Home

Individual Address

Individual City/Town

Individual Postcode

Individual Email Address

If Other Than Individual

Date of Application

(Day/Month/Year)

Full Legal Name

Trading Name

ABN

Type of Business

Contact Person

Business Phone No.

Home Phone No.

Address

City/Town

Postcode

Email Address

ARE YOU TRADING AS A PUBLIC/PRIVATE COMPANY, PARTNERSHIP, SOLE TRADER, OR OTHER (Please Specify)

Director's Name

Director's Postal Address

Director's City

Director's Postcode

Position Held

Phone Number

Other

Do you act as Trustee of a Trust?

If YES, please state Name of the Trust

Is it an ESTABLISHED or NEW BUSINESS

If ESTABLISHED, How long?

Credit Limit Required? $

Expected Monthly Purchase? $

Solicitor Name

Accountant Name

Business Preferences Name

Business Preferences Phone No.

Bank Name & Branch

BSB and Account Number

Signature

I certify that the above information is true and correct and I/we am authorised to enter into this Credit Application on behalf of the Applicant. I
acknowledge that Stella Products Australia ABN: 48 611 869 580 (Seller) may use this information to assess my/our Credit Application. I have
read and understood the attached Terms of Trade, including the clause relating to the guarantee and indemnity, are intended to be read in
conjunction with this Credit Application. I have had the opportunity to seek independent advice prior to signing this Credit Application and agree
to be bound by the attached Terms of Trade.

Full Name

Select Position