Credit Application

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Please fill in the form below to apply for a new customer account with Weighing & Measuring Solutions Ltd. Alternatively, click on the ‘credit application form’ button to download the credit application form as PDF, complete, and send to us at:

Weighing & Measuring Solutions Ltd
PO Box 215
Hastings 4156

Credit Application Form

Registered name of company*
Is the Trading name the same as the Company name?
- Yes
Trading name*
Street Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Postal Address
Same as street address?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Fax Number
Registered address of company*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
NZBN #*
Date of incorporation*
Date Format: MM slash DD slash YYYY
Nature of business*
Number of Years in the Business*
If new, please state*
- Yes
Please give previous employment or business
Full names and addresses of directors of current company*
Surname Christian Name Private Address Private Phone
Name of accountant*
Address of accountant*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Name of solicitor*
Address of solicitor*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Name of Bank*
Bank Branch*
Trade Credit References*
Name Address of Branch Phone Number

Nominate only business dealing with you on credit terms. If none, please give any personal dealings made on credit terms
Name of Person to Contact Regarding the Account*
Email*
Phone*
CAPTCHA

Surname	Christian Name	Private Address	Private Phone

Name	Address of Branch	Phone Number