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Open an Account
To apply for a trading account with Urgent Couriers please complete this form, print, then sign and fax to Urgent Couriers +64 9 307 3599 or alternatively scan and email to sales@urgent.co.nz.
New Account Details
Account Name:
Registered Company Name:
Tick to confirm this is your Registered Company Name
Trading As:
Sole Trader
Partnership
Limited Company
Other
Physical Address
Postal Address (if different from Physical address)
Street Number:
Street Name:
Suburb/Town:
City:
Contact Details
Telephone:
Facsimile:
Email:
Contact People
Main Contact Name:
After Hours Contact:
Telephone:
Telephone:
Facsimile:
Facsimile:
Email:
Email:
Mobile:
Mobile:
Accounts Contact:
Telephone:
Facsimile:
Email:
Mobile:
Name(s) & Address of Director(s)/ Partner(s)/ Proprietor(s)
Name 1:
Address:
Name 2:
Address:
Name 3:
Address:
Credit References (please note: Urgent Couriers does not accept Power, Phone or Financial Institutions as referees as they do not provide credit references. For example, do not give: Telecom, Vodafone, Banks, Empower, AGC etc)
Company 1:
Phone:
Company 2:
Phone:
Company 3:
Phone:
Terms & Conditions of Trading
All accounts must be paid for in full on or before the 20th of the month following invoice. Accounts paid under these terms receive a prompt payment discount.
Urgent Couriers Limited reserves the right to withhold services to customers with overdue accounts.
I/We shall pay or reimburse Urgent Couriers Limited all costs and or expenses incurred by it in instructing a Solicitor and or debt collecting agency to recover any amount overdue for payment.
I/We agree with Urgent Couriers Limited's
terms and conditions
of carriage.
I Give Urgent Couriers Limited the right to check with the entities listed as credit references for any information relevant to my application.
I warrant that the information given above is true and correct and hereby irrevocably authorise Urgent Couriers Limited to obtain information from any source in support of my application. I also acknowledge that information relating to my account/credit status may be used in completing a report for any other party requesting the same.
I/We hereby acknowledge and agree to the terms & conditions above, and also acknowledge that I/We have read and agree to the terms and conditions as set out in pdf form on item 4 above.
Please
print
this form out by clicking the button below and then sign and fax to +64 9 307 3599
PRINT NAME:
DATE:
POSITION:
SIGNATURE:
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