Tom and Luke Australia Wholesale Account Application

Company Details
Business Legal Name*
Business Entity Type*
Business Trading Name*
ABN or ACN:*
Australian Business Number / Australian Company Number
Company Registered Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Owner (Full Legal Name)*

First NameLast Name
Owner Phone Number:*

Area CodePhone Number
Owner E-mail:*
Trading since*

MonthDayYear
Type of Business*

RetailerCafeOther

Social Connections (optional)
Website:
Facebook:
Instagram:

Site Location Details
Please let us know who to contact for orders & deliveries
Orders Full Name*

First NameLast Name
Orders E-mail*
Orders Phone Number*

prefixPhone Number
Site Address for Deliveries:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Accounts Payable Information
Please let us know who to send invoices to & how to contact them
Accounts Full Name*

First NameLast Name
Accounts E-mail*
Accounts Phone Number*

PrefixPhone Number

Trade References
Reference 1
Please provide at least one trade reference. If you are a new business, please provide us with your accountants information. Please do not use power or telecommunication companies.
TR1 Company Name*
TR1 Contact Person*

First NameLast Name
TR1 E-mail*
TR1 Phone Number*

PrefixPhone Number
Account Opened

DayMonthYear
Reference 2

Optional, but the more the merrier :)
TR2 Company Name
TR2 Contact Person

First NameLast Name
TR2 E-mail
TR2 Phone Number

PrefixPhone Number

Terms & Conditions
Please follow this link to read

TOM & LUKE'S TRADE TERMS & CONDITIONS

Main points;
- Invoices are payable on the 20th of the month following date of invoice.

- If, after 60 days, attempts to contact you to bring your account to current have failed, we will pass the bill to a 3rd party collection at your cost.
TRADE TERMS*

Submit Application
Submitted by*

First NameLast Name
E-mail*
To receive submission confirmation
Position*
What's your role in the business?
On behalf of*
Re-confirm the company again please
On*

DayMonthYear
I am not a robot*
Should be Empty: