PELC Credit Application

PELC Credit Application Form

Please complete the form below to apply for a 30 Day Credit Account with Precision Engraving. If you have any question or concerns please contact us

Business Details

Please not ALL fields are mandatory so we can ensure the accuracy of your application and perform references checks where required.

Legal Entity Name*(Required)

Registered Trading Name*(Required)

ABN & ACN*(Required)

Entity Type*(Required)

Date Established*(Required)

Business Address*(Required)

Street Address Address Line 2 City State Postcode Country

Postal Address*(Required)

Street Address Address Line 2 City State Postcode Country

Phone*(Required)

Email Address for Invoices & Statements*(Required)

Business Web Address*(Required)

Primary Contact

Contact Name*(Required)

Position Title/Description*(Required)

Primary Contact Email*(Required)

Contact Number*(Required)

Accounts Payable Contact

Contact Name*(Required)

Position Title/Description*(Required)

Email*(Required)

Contact Number*(Required)

Purchasing Contact

Contact Name*(Required)

Position Title/Description*(Required)

Email*(Required)

Contact Number*(Required)

Bank Details

Bank Name*(Required)

Branch*(Required)

BSB*(Required)

Account Number*(Required)

Estimated Monthly Spend (AUD)*(Required)

Credit Limit Requested (AUD)*(Required)

Accountant Details

Accountants Business Name

Accountants Address*

Street Address Address Line 2 City State Postcode Country

Supplier Reference 1 of 3

Please provide a reference for each supplier you are working with including your monthly purchase amount.

Business Name*(Required)

Contact Person*(Required)

Contact Number*(Required)

Email*(Required)

Address*(Required)

Street Address Address Line 2 City State Postcode Country

Avg Monthly Purchases (AUD)*(Required)

Supplier Reference 2 of 3

Please provide a reference for each supplier you are working with including your monthly purchase amount.

Business Name*(Required)

Contact Person*(Required)

Contact Number*(Required)

Email*(Required)

Address*(Required)

Street Address Address Line 2 City State Postcode Country

Avg Monthly Purchases (AUD)*(Required)

Supplier Reference 3 of 3

Please provide a reference for each supplier you are working with including your monthly purchase amount.

Business Name*(Required)

Contact Person*(Required)

Contact Number*(Required)

Email*(Required)

Address*(Required)

Street Address Address Line 2 City State Postcode Country

Avg Monthly Purchases (AUD)*(Required)

Declaration

The Applicant requests the Company to open an account on the basis of the Company’s standard Terms and Conditions. The Applicant acknowledges that it has read, understood and accepted the Terms and Conditions, and has signed the Terms and Conditions as a sign of this acknowledgment. The Applicant and the signatory to this Application further acknowledge that the information provided in this Application is true and correct and has been relied upon by the Company to determine whether to grant the Applicant credit. The Applicant consents to the information contained in this Application being used for reference and/or credit reporting and/or obtaining credit information from time to time throughout the duration of the Account. The Applicant declares that the signatory has full authority to complete this Application Form on behalf of the Applicant.

Declaration Acceptance*(Required)

I have read and agree to the declaration

Terms & Conditions of Sale

Rocha Designs Pty Ltd trading as Precision Engraving QLD A.B.N. 08 163 502 216 (“the Company”) All and any business undertaken by the Company will be subject to the terms and conditions of this Contract which are as follows:

1) Definitions:
- a) “Company” means Rocha Designs Pty Ltd (A.B.N. 80 163 502 216), trading as Precision Engraving QLD.
- b) “Customer” means the purchaser or the receiver of any Goods or Services provided by or on behalf of the Company and the entity in whose name an account is maintained by the Company.
- c) “Goods” means all products supplied by the Company.
- d) “Services” means the provision of Goods including, but not limited to, installation and any other service performed by the Company pursuant to, or ancillary to, this Contract.
2) These Terms and Conditions contain the whole agreement between the Customer and the Company. No goods or services will be supplied by the Company on any terms or conditions other than those set out herein unless specifically detailed in a quotation from the Company. By submitting the Application for a Trading Account Form, the Customer agrees to be bound by these Terms and Conditions. For the avoidance of doubt, these Terms and Conditions will apply to each quotation supplied by the Company and accepted by the Customer.
3) All quotations supplied by the Company are to be regarded as an invitation to treat only and must be confirmed and accepted in writing by the Customer within THIRTY (30) DAYS from the date of quotation.
4) Prices quoted are subject to amendment at any time until the quotation is accepted by the Customer.
5) After accepting a quotation from the Company, the Customer cannot subsequently cancel the order without the written approval of the Company. In the event that the Company accepts the cancellation of any order placed, it will be entitled to charge a reasonable fee for any work done to the date of cancellation including a fee for the processing and acceptance of the Customer’s order and request for cancellation.
6) The Company will use its best endeavours to secure the delivery of Goods or Services by the estimated delivery date advised to the Customer, but it does not guarantee the time for delivery. The Company will not be liable for any damages or claims of any kind in respect of delay in delivery of the Goods or Services howsoever arising. Time is expressly stated as NOT to be the essence of the Contract.
7) The Company will not be responsible for any freight costs for delivery of Goods supplied by the Company unless expressly stipulated in writing by the Company. Should expedited delivery be agreed and necessitate overtime or other additional cost, an additional amount may be charged to the Customer to cover these costs.
8) Every effort will be made to carry out the Contract but its due performance is subject to cancellation by the Company or to such variation as may be found necessary as a result of any event beyond the Company's control.
9) Payment to be strictly THIRTY (30) DAYS NETT from the date of invoice for the Goods, unless otherwise stipulated in writing by the Company. In the event of any default of payment made by the Customer, the Company reserves the right at its absolute discretion to suspend all further deliveries to the Customer until the default be made good or the Company may cancel any undelivered balance of the goods or order of the Customer. The Company may at its option charge interest at the rate of FOURTEEEN PER CENTUM (14%) per annum on any default upon the Company giving SEVEN (7) days’ notice in writing to the Customer of the Company's intention to charge interest. Any such claim for interest shall be without prejudice to the right of the Company to exercise its legal right and remedies against the Customer.
10) The Company shall in respect of all unpaid debts due from the Customer have a general lien on all goods and property in its possession and shall be entitled, on the expiration of FOURTEEN (14) DAYS notice to the Customer, to dispose of such goods or property as it thinks fit and to apply the proceeds towards such debts.
11) The full legal and beneficial title to any Goods delivered by the Company to the Customer shall be retained by the Company until the Goods are paid in full by the Customer.
12) The Company shall not be liable for indirect or consequential loss suffered by the Customer, or for any loss to the Customer arising from third party claims of whatever nature.
13) The Customer further acknowledges and agrees:
- a) That the Customer has not been induced to enter into this Contract by any promise, representation or warranty which may have been given or made by the Company or the Company's agents as to the suitability of goods supplied by the Company.
- b) Where materials or equipment are supplied by the Customer every care will be taken to secure the best results, but responsibility will not be accepted for imperfect work caused by defects in or unsuitability of such materials or equipment. We recommend you check the suitability of such materials and equipment prior to accepting the Company’s quotation.
- c) Goods supplied or work performed whether experimentally or otherwise at the Customer’s request will be charged for in addition to any quoted work.
- d) Material supplied by the Customer will not be counted or checked when received unless requested by the Customer in writing. An additional charge may be made by the Company in respect of any such counting or checking requested by the Customer.
- e) All property and material supplied to the Company by or on behalf of the Customer (including goods in transit) will be held at the Customer’s risk and the Company accepts no liability for loss or damage to such property or material unless otherwise agreed by the Company in writing.
- f) In the case of materials, equipment and Goods left with the Company without specific instructions, the Company shall be free to dispose of them at the end of twelve months after receiving them and to accept and retain the proceeds, if any, to cover its own costs in holding and handling them.
14) The Customer agrees to indemnify the Company (on an indemnity basis) in respect of any claims, costs and expenses arising out of any actual or alleged infringement of any intellectual property rights of a third party.
15) These terms and conditions may only be varied by written agreement between the parties.

Terms & Conditions Acceptance*(Required)

I have read and agree to the terms & conditions of sale

Agreement Signatures

Director or Authorised Officer Signature*(Required)

Please sign your name using your finger on a touch screen device or you mouse/trackpad on a computer.

Authorised Officer Name*(Required)

Position Title/Description*(Required)

Date*(Required)

Witness

Witness Signature*(Required)

Please sign your name using your finger on a touch screen device or you mouse/trackpad on a computer.

Witness Name*(Required)

Witness Address*(Required)

Street Address Address Line 2 City State Postcode Country