Please note: $150+GST application fee will apply once your credit facility approved. You will receive a refund of $200+GST if your trunover for the first 6 months exceeds $5,000+GST.

PART A - (ALL APPLICANTS MUST COMPLETE)

(if no please attach certificate of currency, [Subject to approval by alfasi insurer.])

PART B - (TO BE COMPLETED BY SOLE TRADERS & PARTNERSHIPS)

PART C - (TO BE COMPLETED BY COMPANIES)

The Customer agrees to comply and abide with the Terms and Conditions of Equipment Hire as set out in this Part D, if the application for a credit account is accepted:

Sole Traders - Partnerships – Proprietors of Business

(Part A) (Must Complete)

Partnerships – Proprietors of Business

(Part B) (Must Complete)

Companies

(Part C) (Must Complete)

EXECUTED by [insert name of Customer] by being signed by:

PART E - PERSONAL GUARANTEE AND INDEMNITY

1. Director(s) of Customer, if Customer is a company