- 8F432E68E4AAB34D92D0F87DB1EFB15C

Application for Account

Please PRINT and FILL IN this form, then:

EMAIL to: info@surfsands.com

or MAIL to: Surfsands Pty Ltd, GPO Box 185, Sydney, 2001


(In order to not have any delays in receiving goods from us, due to us having to first process your  Application For Account, it may be a good idea to establish the account with us BEFOREHAND.)

I/WE HEREBY APPLY TO OPEN A CREDIT ACCOUNT WITH YOU AND FURNISH FOLLOWING PARTICULARS:

APPLICATION FOR ACCOUNT

SURFSANDS PTY. LTD.  (ABN 35 003 226 999)  Suite 3, Level 11, 309 Pitt Street, Sydney, NSW, 2000

 IF A COMPANY:                         ______________                                                                          

 FOR INDIVIDUAL AND COMPANY APPLICANTS:_

 Tick Business Structure:

Signed in the presence of;

Signed in the presence of;

 IN CASE OF INDIVIDUAL APPLICANT: _             _                                                                                             

 I/WE, THE ABOVE NAMED AND UNDERSIGNED, HEREBY REQUEST THAT YOU, SURFSANDS PTY. LTD., OPEN A CREDIT ACCOUNT FOR THE ABOVE NAMED APPLICANT AND IN CONSIDERATION OF THAT, I/WE JOINTLY AND SEVERALLY HEREBY AGREE TO INDEMNIFY YOU AND KEEP YOU INDEMNIFIED FROM AND AGAINST ALL DEBTS AND LIABILITIES WHICH THE ABOVE NAMED APPLICANT AND UNDERSIGNED MAY HENCEFORTH INCUR WITH YOU INCLUDING ANY INTEREST APPLIED TO THE APPLICANT’S ACCOUNT AT THE RATE PRESCRIBED BY THE PENALTY INTEREST RATES ACT 1983 ON OVERDUE ACCOUNTS AND INCLUDING ANY DEBT RECOVERY COSTS INCURRED BY YOU AND I/WE FURTHER AGREE THAT ANY SUCH DEBT OR LIABILITY SHALL BE PAYABLE BY US OR ANY OF US UPON YOUR WRITTEN DEMAND.  

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