Credit Application

Services

Credit Application

Short copy to go here to help the user understand what they have to do

Coastalbridge Branch
Select Preferred Branch*
Company / Individual Details
Company / Individual Name*
Trading As
Trading Address - Ensure the full trading address is entered*
Street Address City State / Province / Region ZIP / Postal Code Country
Postal Address
Street Address City State / Province / Region ZIP / Postal Code Country
Incorporation Date*
DD slash MM slash YYYY
Type of Business/Industry
Australian Business Number (ABN)- if Individual type NA*
Australian companies must provide
DUNS Number
USA companies must provide
New Zealand Business Number (NZBN) - if Individual type NA
NZ companies must provide
Credit Details
Credit Limit*
requested in AUD (excluding GST/Duty)
Credit Period*
Please note that if credit terms are not strictly adhered to we reserve the right to suspend or cancel credit terms immediately.
Trade References
Trade References*
Please enter the business name and email address of 3 trade references.
Trade Reference 1 Business name*
Trade Reference 1 Email Address*
Trade Reference 2 Business name*
Trade Reference 2 Email Address*
Trade Reference 3 Business name*
Trade Reference 3 Email Address*
Accounts Details
Accounts Contact Name*
Accounts Telephone Number*
Accounts Email Address*
Bank & Branch
Names and Addresses of Directors or Partners
Directors or Partners
Full Name Private Address
I/We Agree that AAW Global Logistics Pty Ltd T/A Coastalbridge*
I/We Agree that Coastalbridge Pty Ltd ACN 668 259 818, may seek consumer credit information and trade references in accordance with the provisions of the Privacy Act 1988 (Commonwealth) and/or the Privacy Act 2020 (New Zealand). If Coastalbridge considers it relevant to assessing my/our application for commercial creditor relevant to collecting overdue payments in respect of commercial credit provided to me, I/we agree to Coastalbridge receiving from a credit reporting agency credit reports containing personal information about my/our credit standing, credit history or credit capacity that credit providers are allowed to give to or receive from each other under the applicable Privacy Act. A statement of Coastalbridge policy regarding the collection and use of personal information can be found here and in signing this application and submitting it to us, we acknowledge that we have read that statement, and agree to be bound by the terms of it.*
I/We acknowledge and agree that by signing this document:*
I/We acknowledge and agree that, by signing this document: (a) have read and understood the Standard Trading Conditions included in this Credit Application Form and can be found if you click here and in particular clauses 13 and 14, which restrict or limit the Company’s liability for loss of or damage to Goods regardless of the cause of such loss or damage; (b) it acknowledges that all the Company’s Services are provided subject to these Standard Trading Conditions; (c) it has been advised by the Company to arrange insurance cover over the Goods; and (d) it has authority to sign on behalf of the owner of the Goods.*
Your Name*
First Last
Position*

Credit Application

Services

Credit Application

Coastalbridge Branch

Company / Individual Details

Credit Details

Trade References

Accounts Details

Names and Addresses of Directors or Partners

TRANSPORTING YOUR CARGO AROUND AUSTRALIA AND BEYOND

TRANSPORTING YOUR CARGO AROUND AUSTRALIA AND BEYOND

Full Name	Private Address