Application for credit account

An account gives you full access to the benefits and peace of mind of our services. Apply online using the form below or print and send us the PDF version by either mail, courier or fax. Find the details for your nearest branch. For more information call our Customer Services Team on 0800 800 841.

* Required field

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Branch

Applicant's Details
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Physical Address

Postal Address
  Postal Address the same as above
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Company Details
Do you currently use a courier company? Yes
No
Would you prefer to receive invoices via post? Yes
No

Credit References

Credit References - please supply three:
(Not including banks, power, phone companies and no personal references)
Reference 1:
Company Name:* Telephone:*
Reference 2:
Company Name:* Telephone:*
Reference 3:
Company Name:* Telephone:*
Your organisation type:* Company
Partnership
Sole Trader
 Other:  
Is the company registered?* Yes
No
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Contact Details

1. Decision Maker
(Authorising the opening of Account)
Title:* Position:*
First Name:* Surname:*
Email:* Telephone:*
2. User
(Contact relating to User of courier services)
Contact details the same as above
Title:* Position:*
First Name:* Surname:*
Email:* Telephone:*
3. Accounts
(Contact for accounts payable)
Contact details the same as above
Title:* Position:*
First Name:* Surname:*
Email:* Telephone:*
Contact with New Zealand Couriers
resulted from:		 Approached by New Zealand Couriers
Yellow/White Pages
Internet search
Courier already delivers to this address
Have used New Zealand Couriers previously
 Other

Important: Please note that New Zealand Couriers Limited payment terms are the 20th of the month following the date of invoice/ statement.

The company reserves the right to withhold its services from any customer whose account is overdue until such time as the account is paid.

All consignments are carried subject to the Conditions of Carriage prevailing.
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Consent of Disclosure

I acknowledge that I have read and agreed to the terms of the contract and have accepted and agreed to the Conditions of Carriage and Consent of Disclosure. I state I am authorised to agree to these conditions on behalf of the organisation named.
Name:* Position:*
Email:* Confirm email:*
Date:*
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A confirmation email will be sent to you with all of the details you have completed and a link to our terms of trading and our conditions of carriage.