Castle Glen Australia - Wholesaler's Application

Wholesaler's Application

Application for a Wholesaler's Account with Credit Terms

For a Wholesaler's Account to be approved you must purchase from Castle Glen Australia at least 3 times;
When payment is received and funds are cleared, stock will be released from the warehouse;
At least 3 orders must be paid for in full before a credit account will be opened for any wholesale purchaser;
Credit Terms are 7 days unless otherwise negotiated.

= Required Field

Details:

Name of Contact Person:

Positon:

Name of Directors:

Name of Company / Business:

ABN / ACN:

Address:

(this line may be omitted if not required)

Suburb / City, State & Postcode:

Phone:

Fax:

Mobile:

Email:

Website:

Postal Address:

Select Address:
(Selecting 'Use details entered below' will make additional fields available)

	- Use same address as 'Details' above
	- Use details entered below

Delivery Address:

Select Address:
(Selecting 'Use details entered below' will make additional fields available)

	- Use same address as 'Details' above
	- Use details entered below

Liquor License Information:

Name on License: (Company / Person)

Name of Nominees: (or 'as above')

Address:

(this line may be omitted if not required)

Suburb / City, State & Postcode:

Phone:

Fax:

Mobile:

Type of License:

License Number:

Licensing State:

General Information:

Where did you first hear about Castle Glen Products?

Did a Castle Glen Australia Representative approach you?