New Customer Application
By applying for account with Blossoms BH Wholesale Pty Ltd, the applicant(s) agree(s) to terms and conditions of the Company’s standard contract.
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Company Name *
ABN *
Address *
Phone *
Fax
Email *
Contact Person *
Positon *
Mobile *
Fax
Entity type *
Platform / Online Shops *
Year established *
Company Name in China (if applicable)
Company Address in China (if applicable)
Year established
Company Reference
Products for Sale *
Products / Service interested in *
How do you know about our company? *
Statement by applicant(s) for credit *
1. Access to Consumer Credit Information for a Commercial Credit Application (Section 18k(1)(b) Privacy Act 1988). As part of its normal credit assessment procedures, I consent to Blossoms BH Wholesale Pty Ltd obtaining a credit report about me.2. Exchanging information with other Credit Providers (Section 18N(1)(b) Privacy Act 1988) I agree to Blossoms BH Wholesale Pty Ltd obtaining personal information about me from other credit providers, whose names I may have provided to Blossoms BH Wholesale Pty Ltd or that may be named in a credit report, for the purpose of assessing my application for commercial credit.
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