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Partner Application
Company Details
Registered business name*
Trading as
Street Address Postal Address
Address*
Suburb*
State*
Post code*
Address
Suburb
State
Post code
Contact Details  
Phone* Mobile Phone
Fax* E-mail*
   
Business Type Banking Details
Type of business
ABN ACN
Date of Incorporation State
Bank*
Branch*
Phone*
 
Director Details
Names, date of birth and residential address of directors/partners
Director 1
Name*
DOB
Address*
Director 2
Name
DOB
Address
Director 3
Name
DOB
Address
 
Trade references
New Entity
Business Name* Contact* Phone* Fax
Business Name* Contact* Phone* Fax
Business Name* Contact* Phone* Fax
Credit Options
Desired Credit Terms Credit Limit
Anticipated possible monthly purchases $    
Local VPS Group Office
Office*
Disclosure
I/We the undersigned declare that the above application is true and correct and agree to the Terms and Conditions as outlined in the current partner price list.
I/We accept the Trading Terms its being STRICTLY COD unless otherwise agreed with an Authorized Officer of VPS Group Pty Ltd

I/We personally guarantee to pay in full for any goods which have been received by the above mentioned and are held personally liable for any outstanding debts at any stage.

CLICK HERE FOR THE TERMS AND CONDITIONS.
 
  • PLEASE NOTE this application can only be signed personally by the Proprietor, by at least two partners or by the Director and the Secretary of the Company.
  • PLEASE INCLUDE A COPY OF YOUR BUSINESS REGISTRATION CERTIFICATE

When you have completed the form press the "Print This Form" button to print your preformatted Dealer Application from a new window, you must allow popups for this to work.
Once printed, please sign the form and FAX it to the

VPS Group Pty Ltd Head Office

FAX: 07 5544 6767
   
 
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