Account Application

Credit account application

Legal Entity Name*
Trading Name*
A.B.N*
Phone Number*
Business Address*
Street Address City State Post Code
Email*
Enter Email Confirm Email
Website
Postal Address*
Postal Address
Street Address City State Postcode
Owner or Directors Name*
Directors Phone*
Nature Of Business*
Years Established*
Accounts Payable Contact*
Accounts Email*
Enter Email Confirm Email
Special Requirments
Expected Number Of Deliveries Per Week*
Paper Return Required
All paperwork that requires posting will incur a $2.50 fee per envelope
Login Email
Login Password
Email Address For Delivery Notifications
Signature Required At Pick Up
Signature Required At Delivery
Trade Reference 1*
Street Address City State Postcode
Trade Reference 2*
Street Address City State Postcode
Trade Reference 3*
Street Address City State Postcode
Terms And Conditions
Submitting this application indicates your agreement to abide and be bound by our trading terms and conditions including but not limited to our conditions of carriage which can be found on our Terms and Conditions page at https://www.kangaroocouriers.com.au/terms-conditions/ I/We authorize Kangaroo Couriers Australia Pty Ltd to contact the above mentioned referees for the purpose of obtaining credit information on the account/s operated by me/us with those organizations:
Terms And Conditions Acceptance*
- Agree
- Do Not Agree
By digitally signing this account application (selecting the agree box and clicking the submit button below) you agree that you have received a copy of, and are legally bound by our Trading Terms and Conditions of Carriage. If you do not agree to any of our Terms and Conditions or Conditions of Carriage, please select do not agree and the application will not proceed.
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Digital Signature*

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