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PO BOX 484 BEROWRA NSW 2081

COMMERCIAL CREDIT APPLICATION

THIS APPLICATION IS FOR CREDIT FACILITIES TO BE APPROVED BY JOHN S. HAYES & ASSOCIATES PTY LTD. - (A.C.N. 082 978 238) (A.B.N. 84 082 978 238)

THE APPLICANT (S)

Business / Trading Name ... Address ... Registered Company Name ... A.B.N. Number ... Registered Office Address ... Telephone No. ………. Fax No. ………. Contact Name: Buyer ... Accounts Payable ...

Accounts Payable Email Address ……… Type of Business: Sole Trader / Partnership / Trust / Private / Public Co. Estimated Monthly Purchase $... Bank & Branch ... Type of Business ……….… Years Trading …………. Business Premises : (State if owned, mortgaged, leased. Give details)

...

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FULL NAMES & HOME ADDRESSES OF PROPRIETORS / DIRECTORS / PARTNERS

NAME: ... NAME ...

ADDRESS ... ADDRESS ...

... ...

POSTCODE... POSTCODE ...

SIGNATURE... SIGNATURE ...

NAME ... NAME ...

ADDRESS ... ADDRESS ...

... ...

POSTCODE... POSTCODE ...

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TERMS & CONDITIONS

By deed made upon the day appearing below the Customer and the Guarantor/s agree with the supplier John S. Hayes & Associates Pty Ltd. as follows:

1. The Supplier has relied upon the truth and accuracy of the disclosures and

representations made by the Customer / Guarantor upon the face of this application.

2. The customer agrees that ownership of goods does not pass until payment for

the goods is received in full by the supplier.

3. The Customer acknowledges the Supplier may vary the available credit limit

without giving any prior notice or cause or reason to the Customer.

4. All invoices for goods/services supplied upon credit must be paid within

the terms specified on the application PROVIDED the Supplier may vary the terms of payment in its absolute discretion without giving any prior notice or cause or reason to the Customer.

5. I/We agree that the Supplier may give to and seek from any credit provider

named in this credit application and any credit provider that may be named in a credit report issued by a credit reporting agency information about my/our credit

arrangements. I/We understand that this information can include any information about my/our credit worthiness, credit standing, credit history or credit capacity that credit providers are allowed to give or receive from each other under the Privacy Act.

6. The supplier retains the right to include in any debt, owing by the customer, all

costs and expenses incurred in recovering money due to it by the customer from time to time.

I/We understand the information may be used for the following purposes:

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THE GUARANTOR/S AGREE AS FOLLOWS:

i) To be answerable responsible to the supplier for the due payment for all

goods/services supplied as aforesaid, notwithstanding that no notice of any neglect or omission on his part to pay for such goods according to the terms agreed upon has been forwarded to the guarantor/s.

ii) That this agreement shall be a continuing guarantee for the whole debt

that shall be contracted with respect to goods/services to be supplied.

iii) That this guarantee shall be enforceable notwithstanding that any

negotiable or other securities referred to herein or to which it shall extend or be applicable shall at the time the proceedings being taken against me/us on this

guarantee be outstanding or in circulation.

iv) That the supplier shall be at liberty to act as though the guarantor/s

where the principal debtor and to this end the guarantor/s hereby waive all and any of their rights as surety which may at any time be inconsistent with any of these provisions.

v) This guarantee shall be of a continuing nature and shall not be effected by

any forbearance of failure by the supplier to seek payment from the customer.

iv) The expression "debt" shall include all costs and expenses the supplier may incur in recovering money due to it by the customer from time to time.

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IN WITNESS OF WHICH the supplier/customer/guarantor/s have placed their hands and seals this... day of ... 20...

CUSTOMER SIGNATURE ...

GUARANTOR SIGNATURE ...

GUARANTOR SIGNATURE ...

SIGNED SEALED AND DELIVERED

BY THE SAID GUARANTOR / S in the presence of:...

SCHEDULE: Guarantor (or guarantors)

NAME ... NAME ...

ADDRESS ... ADDRESS ...

... ...

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John S. Hayes & Associates Pty Ltd

TRADING TERMS

ORDER QUANTITIES

F.I.S. METROPOLITAN AREAS - when order exceeds $250 in total.

For orders less than two hundred and fifty dollars ($250), a delivery charge of

fifteen dollars ($15) applies.

ORDER TIMES

Orders received before 2.00pm AEST, will be despatched the following day.

Stock can be collected from our warehouse during trading hours, by prior

arrangement.

SHORTAGES & DAMAGES

Shortages and damages should be reported within 24 hours of receipt of

goods.

ACCOUNTS

Payment of accounts is on a strict 30 day, from end of month, basis.

(eg. Purchases on the 10

th

December is payable by the 31

st

January)

We accept payment by EFT, Cheque or Credit Card

Our Bank Details as follows:-

BSB 012-373

A/c No 8373 48439

Please note- payment by credit card will incur the following processing fee.

Visa/Mastercard 1.5% American Express 2.75%

References

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