Corporate Account Application

Business Credit Application

Business Contact Information

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country

Business Information

Name of Company Principal Responsible for Business Transactions
Name of Company Principal Responsible for Business Transactions
First
Last
Address of Company Principal
Address of Company Principal
City
State/Province
Zip/Postal
Country

Terms & Conditions

I hereby certify that the information contained herein is complete and accurate. This information has been furnished with the understanding that it is to be used to determine the amount and conditions of the credit to be extended. I also agree to the terms of credit offered by Bungalow & Co as follows:
~ Credit Terms are 14 days from purchase date unless alternate arrangements are made.
~ All items purchased under this financial agreement remain the property of Bungalow & Co Pty Ltd until payment is received in full.
~ Faulty items must be reported within 24 hours of receipt.

By submitting this form you confirm and agree to the terms and conditions outlined above.