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Credit Application – New Customer Form

"*" indicates required fields

Please fill out the application below and we’ll be in touch! For any questions, feel free to call us on 1800 325 013.

Looking forward to working with you!

Your Details

Company Name**

ABN*

Liquor Licence*

Date of birth (where a sole trader)*

Postal Address*

Delivery Address*

Authorised Representative

Name*

Phone Number*

Email Address*

Accounts Contact

Name*

Phone Number*

Email Address*

Terms Requested

What level of credit are you applying for?*

Aether Brewing limits the value of credit at $3,000. If your business needs a higher value this will be evaluated and determined at our discretion.

Terms Requested

Prepaid/Credit Card

14 Day Account – please complete trade references and signatures below

Monthly Credit Limit*

Please note: If credit limit requested is $5000 or over, our credit policy requires that you complete and sign a guarantee and indemnity form.

To apply for a credit account with Aether Group Pty Ltd ABN 36 600 064 926 (we/our/us), you must complete and sign this form. All credit accounts granted by us are provided under our Credit Terms (November 2018) and together with this application form our credit agreement with you.

Trade References

Please note: Carlton & United Brewers, ALM, Lion Nathan, Coca-Cola, QFS Quality Foods, Negociants Australia and Corporate Traveller do not provide trade references

#1*

Company Name Contact Name Phone Number

#2*

Company Name Contact Name Phone Number

#3*

Company Name Contact Name Phone Number

I/we confirm that we have received, read and understood the Credit Terms. I/we further confirm that we are duly authorised to sign this Credit Application and intend to be bound by Aether Brewing’s credit agreement.

SIGNED by an authorised representative, who declares that he/she received clear authority to execute and no notice of revocation of that authority, in the presence of:

#1*

Signature Full Name Date

#2*

Witness Signature Witness Full Name Date

Our credit terms are also available at https://aetherbrewing.com.au/creditterms

Comments

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