Credit Account Application

Type of Business

Sole Trader
Trust
Partnership
Company

Client Name:

ABN No:

Trading Name:

ACN No:

Physical Address:

State

Postcode

Billing Address:

State

Postcode

Email Address

Accounts Contact Email Address

Decision Maker Email Address

Alternative Email Address

Phone No.

Fax No.

Directors / Owners / Trustee

(if more than one, please click add at the bottom)

Full Name

D.O.B.

Private Address

State

Postcode

Driver’s Licence No.

Phone No.

Mobile No.

Date Business / Company Established

(Current Owners)

Credit Limit Required

Nature of Business

Paid Up Capital

Estimated Monthly Purchases

Principal Place of Business is

Rented
Owned
Mortgaged

Purchase Order Required

Yes
No

Accounts to be emailed?

Yes
No

Accounts Email Address

Accounts Contact

Phone No.

Mobile No.

Bank and Branch

Account No.

Account Terms

30 Day
COD
Other

Physical Order Present

Trade References

Name

Address

Phone / Fax / Email

Name

Address

Phone / Fax / Email

Name

Address

Phone / Fax / Email

Agreement

I certify that the above information is true and correct and that I am authorised to make this application for credit. I have read and understand the TERMS AND CONDITIONS OF TRADE of Video Security Products Pty Ltd which form part of, and are intended to be read in conjunction with this Credit Account Application and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein. I agree that if I am a director/shareholder (owning at least 15% of the shares) of the Client I shall be personally liable for the performance of the Client’s obligations under this contract. *

Personal/Directors Guarantee and Indemnity

IN CONSIDERATION of Video Security Products Pty Ltd and its successors and assigns (“the Supplier”) at the request of the Guarantor (as is now acknowledged) supplying and continuing to supply goods and/or services to {client_name}

I/WE (also referred to as the “Guarantor/s”) UNCONDITIONALLY AND IRREVOCABLY:

GUARANTEE the due and punctual payment to the Supplier of all monies which are now owing to the Supplier by the Client and all further sums of money from time to time owing to the Supplier by the Client in respect of goods and services supplied or to be supplied by the Supplier to the Client or any other liability of the Client to the Supplier, and the due observance and performance by the Client of all its obligations contained or implied in any contract with the Supplier, including but not limited to the Terms & Conditions of Trade signed by the Client and annexed to this Guarantee and Indemnity. If for any reason the Client does not pay any amount owing to the
Supplier the Guarantor will immediately on demand pay the relevant amount to the Supplier. In consideration of the Supplier agreeing to supply the Goods to the Client, the Guarantor charges all of its right, title and interest (joint or several) in any land, realty or other assets capable of being charged, owned by the Guarantor now or in the future, to secure the performance by the Guarantor of its obligations under these terms and conditions (including, but not limited to, the payment of any money) and the Guarantor acknowledges that this
personal guarantee and indemnity constitutes a security agreement for the purposes of the Personal Property Securities Act 2009 (“PPSA”) and unequivocally consents to the Supplier registering any interest so charged. The Guarantor irrevocably appoints the
Supplier and each director of the Supplier as the Guarantor’s true and lawful attorney/s to perform all necessary acts to give effect to
this clause including, but not limited to, signing any document on the Guarantor’s behalf which the Supplier may reasonably require to:
1. register a financing statement or financing change statement in relation to a security interest on the Personal Property Securities Register;
2. register any other document required to be registered by the PPSA or any other law; or
3. correct a defect in a statement referred to in clause 1(a) or 1(b).
HOLD HARMLESS AND INDEMNIFY the Supplier on demand as a separate obligation against any liability (including but not limited to damages, costs, losses and legal fees calculated on a solicitor and own client basis) incurred by, or assessed against, the Supplier in connection with:
1. the supply of goods and/or services to the Client; or
2. the recovery of monies owing to the Supplier by the Client including the enforcement of this Guarantee and Indemnity, and including but not limited to the Supplier’s nominees costs of collection and legal costs; or
3. monies paid by the Supplier with the Client’s consent in settlement of a dispute that arises or results from a dispute between, the Supplier, the Client, and a third party or any combination thereof, over the supply of goods and/or services by the Supplier to the Client.
I/WE FURTHER ACKNOWLEDGE AND AGREE THAT
I/We have received, read and understood the Supplier’s Terms and Conditions prior to entering into this Guarantee and Indemnity and agree to be bound by those Terms and Conditions.
This Guarantee and Indemnity shall constitute an unconditional and continuing Guarantee and Indemnity and accordingly shall be irrevocable and remain in full force and effect until the whole of monies owing to the Supplier by the Client and all obligations herein have been fully paid satisfied and performed.
No granting of credit, extension of further credit, or granting of time and no waiver, indulgence or neglect to sue on the Supplier’s part (whether in respect of the Client or any one or more of any other Guarantor(s) or otherwise) and no failure by any named Guarantor to properly execute this Guarantee and Indemnity shall impair or limit the liability under this Guarantee and Indemnity of any Guarantor. Without affecting the Client’s obligations to the Supplier, each Guarantor shall be a principal debtor and liable to the Supplier accordingly.
If any payment received or recovered by the Supplier is avoided by law such payment shall be deemed not to have discharged the liability of the Guarantor, and the Guarantor and the Supplier shall each be restored to the position in which they would have been had no such payment been made.
The term “Guarantor” whenever used in this Guarantee and Indemnity shall, if there is more than one person named as Guarantor, mean and refer to each of them individually and all of them together unless the context otherwise requires, and the obligations and agreements on the part of the Guarantor contained in this Guarantee and Indemnity shall bind them jointly and severally.
I/We have been advised to obtain independent legal advice before executing this Guarantee and Indemnity. I/we understand that I/we am/are liable for all amounts owing (both now and in the future) by the Client to the Supplier.
I/we irrevocably authorise the Supplier to obtain from any person or company any information which the Supplier may require for credit reference purposes. I/We further irrevocably authorise the Supplier to provide to any third party, in response to credit references and enquiries about me/us or by way of information exchange with credit reference agencies, details of this Guarantee and Indemnity and any subsequent dealings that I/we may have with the Supplier as a result of this Guarantee and Indemnity being actioned by the Supplier.
The above information is to be used by the Supplier for all purposes in connection with the Supplier considering this Guarantee and Indemnity and the subsequent enforcement of the same.