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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.

Stella supplying commercial cleaning products, janitorial supplies and washroom paper products since 1995.

Full Name

Select Position