Apply for a Credit Account

1. Business
2. Contacts
3. Director & credit
4. Declaration

Business details

Fields marked with * are required.

Legal business name

Trading name (if different)

ABN or ACN

Business type

Time in business

Registered business address

Street address

Suburb

State

Postcode

Business phone

Website (optional)

Contact details

Who should we contact about hires, and who pays the invoices?

Hiring site contact

Full name

Phone

Accounts payable department

Contact name

Phone

Email for invoices & statements

Director & credit request

Only one director or authorised person is required.

Full name

Position

Mobile

Credit request

Estimated monthly hire spend

Credit limit requested (optional)

Trade references (optional)

Reference 1 – business name

Reference 1 – phone or email

Reference 2 – business name

Reference 2 – phone or email

Declaration

Please confirm the details above and sign off.

I declare that the information provided in this application is true and correct, and that I am authorised to apply for a credit account on behalf of the business.

I have read and consent to the MEA Truck Hire Privacy Policy, including MEA Truck Hire collecting and using this information to assess this application and obtain credit information about the business.

Type your full name as signature

Date