To Be Completed By Applicants Online Only

 Please complete all sections online and read the Terms and Conditions of Trade.

As advised, this credit application is to be completed in the following electronic form using electronic signatures. 

The credit application will not be accepted in any other formats including PDF. 

Please do not print this form - Complete online

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Business Details:

Please be advised as a new customer/owner your first order will be proforma, unless otherwise approved by managment. 

Buying Details:

Please provide a Purchase Order Number when placing your order.

Account Details:

Payment will be required prior to your order being dispatched. 

Directors / Owners / Trustee:
Trade References:

Please provide us with up to 3 vendors with whom you do business on credit. 

Delivery Instructions & Site Requirements:

Please advise sales staff when your order is placed if you require a call or have a specific date you would like to pick up.


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Terms & Conditions of Trade

Personal / Directors Guarantee & Indemnity

IN CONSIDERATION of Nicholas Agency & Co Pty Ltd and its successors and assigns (“NA”) at the request of the Guarantor (as is now acknowledged) supplying and continuing to supply goods and/or services to

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

  1. GUARANTEE the due and punctual payment to NA of all monies which are now owing to NA by the Customer and all further sums of money from time to time owing to NA by the Customer in respect of goods and/or services supplied or to be supplied by NA to the Customer or any other liability of the Customer to NA, and the due observance and performance by the Customer of all its obligations contained or implied in any contract with NA, including but not limited to the Terms & Conditions of Trade signed by the Customer and annexed to this Guarantee and Indemnity. If for any reason the Customer does not pay any amount owing to NA, the Guarantor will immediately on demand pay the relevant amount to NA. In consideration of NA agreeing to supply the goods and/or services to the Customer, 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 NA registering any interest so charged. The Guarantor irrevocably appoints NA and each director of NA 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 NA may reasonably require to:
    (a) register a financing statement or financing change statement in relation to a security interest on the Personal Property Securities Register;
    (b) register any other document required to be registered by the PPSA or any other law; or
    (c) correct a defect in a statement referred to in clause 1(a) or 1(b)..

  2. HOLD HARMLESS AND INDEMNIFY NA 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, NA in connection with:
    (a) the supply of goods and/or services to the Customer; or
    (b) the recovery of monies owing to NA by the Customer including the enforcement of this Guarantee and Indemnity, and including but not limited to NA’s nominees contract default fee and legal costs; or
    (c) monies paid by NA with the Customer’s consent in settlement of a dispute that arises or results from a dispute between, NA, the Customer, and a third party or any combination thereof, over the supply of goods and/or services by NA to the Customer.

  3. I/We have received, read and understood NA’s Terms and Conditions prior to entering into this Guarantee and Indemnity and agree to be bound by those Terms and Conditions.

  4. 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 NA by the Customer and all obligations herein have been fully paid satisfied and performed.

  5. No granting of credit, extension of further credit, or granting of time and no waiver, indulgence or neglect to sue on NA’s part (whether in respect of the Customer 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 Customer’s obligations to NA, each Guarantor shall be a principal debtor and liable to NA accordingly.

  6. If any payment received or recovered by NA is avoided by law such payment shall be deemed not to have discharged the liability of the Guarantor, and the Guarantor and NA shall each be restored to the position in which they would have been had no such payment been made.

  7. 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.

  8. 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 Customer to NA.

  9. I/we irrevocably authorise NA to obtain from any person or company any information which NA may require for credit reference purposes. I/We further irrevocably authorise NA 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 NA as a result of this Guarantee and Indemnity being actioned by NA.

  10. The above information is to be used by NA for all purposes in connection with NA considering this Guarantee and Indemnity and the subsequent enforcement of the same.

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  1. If the Customer is a sole trader or partnership the Guarantor(s) should be some other suitable person(s).

  2. If the Customer is a club or incorporated society the Guarantor(s) should be the president and secretary or other committee member

The credit application will not be accepted in any other formats including PDF. 

Please do not print this form