Become a trade partner BUSINESS DETAILS Legal Business Name Trading Name NZBN/Company number GST number Entity type Years trading Nature of business Estimated monthly spend Physical address Postal address CONTACT DETAILS Primary contact first name Primary contact last name Primary contact position Primary contact email Primary contact phone Accounts contact first name Accounts contact last name Accounts contact email Purchase order required? Yes No DIRECTORS, OWNERS OR PARTNERS Contact 1 first name Contact 1 last name Contact 1 position Contact 1 phone Contact 1 email Contact 2 first name Contact 2 last name Contact 2 position Contact 2 phone Contact 2 email Contact 3 first name Contact 3 last name Contact 3 position Contact 3 phone Contact 3 email SOLE TRADER/INDIVIDUAL First name Last name Address Date of birth TRADE REFERENCES Reference 1 Business name Contact name Phone Email Reference 2 Business name Contact name Phone Email Reference 3 Business name Contact name Phone Email Applicant declaration I confirm that the information provided in this application is true and correct and that I am authorised to apply for a trade credit account on behalf of the Applicant. I understand that submission of this application does not guarantee approval of a credit account. I acknowledge that NZ Timber Profiles Limited trading as The Timber Profile Co. may contact the trade references provided and carry out credit enquiries in accordance with its Privacy Policy. Full name of person completing this form Position Is there anything else you would like us to know? Submit
