Credit Application | Screaming Seeds

Business details

Legal company or business name *

Trading name *

ABN *

Business structure *

Years trading

Website

Primary contact

Your name *

Position *

Email address *

Phone *

Business address

Street address *

Suburb *

State *

Postcode *

Postal address

Accounts and credit requirements

Accounts contact

Accounts email *

Accounts phone

Purchase order required?

Requested credit limit *

Estimated monthly spend

Trade reference 1

Company name *

Contact person *

Email *

Phone *

Trade reference 2

Company name *

Contact person *

Email *

Phone *

Declaration and authority

Authorised applicant name *

Position *

Additional information

I authorise Screaming Seeds to contact the trade references supplied and obtain information relevant to this credit application.

I consent to Screaming Seeds collecting, storing and using the information supplied for account administration, credit assessment and debt recovery purposes.

I declare that the information in this application is true and correct and that I am authorised to submit this application on behalf of the applicant.

Applications are reviewed by Screaming Seeds and credit approval is not automatic.