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Application for a Trading Account

Thanks for your interest in working with us.

Part A. Applicant Details ("the Customer")

The Applicant (Company Name)

Trading as

ABN

Contact Person

Years Trading

Business Address

Postal Address (If different to above)

Contact Number

Accounts Contact Person

Accounts Telephone

Accounts Email

Operations Contact Person

Operations Telephone

Operations Email

Part B. Directors (for Companies), Proprietors or Individual’s Details

Director Full Name

Address

Date of Birth

Driver's License Number

Mobile Number

Part C. Trade References

1. Name

Email Address

2. Name

Email Address

3. Name

Email Address

Part D. Payment

Account

Cash Account Prepaid Account

Part E. Acknowledgement, warranty, agreement, and consent

I/We hereby accept and agreed to Standard Trading Conditions and Terms.

Full Name

Position

Date

Anti-bot validation

Application for a Trading Account

Part A. Applicant Details ("the Customer")

Part B. Directors (for Companies), Proprietors or Individual’s Details

Part C. Trade References

Part D. Payment

Part E. Acknowledgement, warranty, agreement, and consent

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