Account Application Form

APPLICATION For Credit

Application Form

Company

Phone

Fax

E-Mail

Town/City

Post Code

PO Box

Address

Main Contact

Accounts Contact

Website Log In Email

Please Note

If you have more than 1 person using our website we recommend you use your info@.... or sales@.... etc

30 day account with a credit limit of $

No. Employees

Nature of business

Client Requests or Restrictions

Credit Check

Please provide two suppliers to your company allowing a credit payment check to be completed (excluding Banks, Electricity & Fuel providers).

Company

Contact

Company

Contact

Terms and Conditions

Please visit our website at www.hesnz.co.nz

At the bottom of our home page are our “Terms & Conditions” please click on this and ready

Declaration

I have read and understand the “Terms and Conditions” of this account application and agree to be bound by them.

I hold a position of responsibility within this company allowing me to complete Pages 1 and 2 of this account application on behalf of the company.

Full Name

Company Position

HES NZ Ltd - 3 Heb Place, Takanini, Auckland 2105, New Zealand
Postal: Po Box 202245, Southgate Post Centre, Auckland 2246
accounts@hesnz.co.nz

Westpac Bank Account No. 03 1506 0483614 000
Branch: Westpac Manukau City Mall Branch
Address: 683 Great South Road, Manukau 2104, New Zealand
International Swift Code: WPACNZ2W

Office Use :

Approved By

Date

CATEGORIES

Categories

Account Application Form

APPLICATION For Credit

Please Note

Credit Check

Terms and Conditions

Declaration

Office Use :