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Reseller Application

Application for IT Channel Pty Ltd Trade Dealership

Company Name:		ABN:
Address:
State:		Post Code:
Phone:		E-Mail:
Fax:		Contact:
Type of Business:
Target Market:
Mode of Advertising:
Monthly Turnover:
Monthly Expenditure on Advertising:
Bank Branch:		Manager:
Tel:

Trade References:

	Trader Name	Contact	Tel	Fax
1
2
3

Trading terms

1 Net payment to be made at the time of order, unless otherwise arranged

2 Credit facilities, if given, may be withdrawn on overdue accounts at the ITChannel discretion without notice

3 This application is to be completed in full and Dealer Status will not apply until approved.

4 A postal box number is not acceptable as Business Address

5 The address of services of notices shall be the trading address and the home address of any one of Directors or the Registered Office of the choice of which will be the prerogative of ITChannel.

6 It is understood that payment is due by the day of dispatch/collection of goods. Should payment be defaulted then the goods will not be released. The property of goods still belongs to ITChannel until the payment cleared.

Declaration

I/We certify that I/We have not been/are not Bankrupt and the applicant Firm/Company is solvent and can pay its debts as and when they fall due. Fully accept the trade conditions above.

Occupation:

Name:

Date:

1/6/2009

I agree to all conditions set out on this and certify that all information supplied is correct and valid to the best of my knowlage