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

  1. All services must be paid for in full on or before the 12th of the month following invoice. Any tickets remain the property of Urgent Couriers Limited until paid for in full.
  2. Urgent Couriers Limited reserves the right to withhold services to customers with overdue accounts.
  3. I/We shall pay or reimburse you all costs and /or expenses incurred by Urgent Couriers Limited in instructing a Solicitor and /or debt collecting agency to recover any amount overdue for payment. Tick box to acknowledge acceptance.
  4. I/We agree with Urgent Couriers Limited's terms and conditions of carriage.
  5. I give Urgent Couriers Limited the right to check with the entities listed as credit references for any information relevant to my application.
  6. 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 the support of my application. I also acknowledge that information relating to my account / credit status may be used in completing a report to 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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