Section 1: Applicant information
Registered address *
Authorised owner(s) / director(s)
Invoicing & delivery
Invoice address (if different to registered address)
Delivery address
Authorised finance contact
Company financials
Please note: the credit limit requested is subject to Xinix World's verification procedures and is not guaranteed.
Section 2: Bank reference
This information is strictly for verification purposes. Please attach a stamped confirmation letter from your bank referencing these details.
Bank address
Section 3: Trade / business references
This information is strictly for verification purposes. By submitting this application, the applicant consents to the referee being contacted by Xinix World as part of the credit approval process.
Business reference 1
Address
Business reference 2
Address
Section 4: Applicant declaration & signature