Credit Application

To apply for a credit application please fill out the below form.

If you have any queries please contact us at theteam@vinestovenues.com.au

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Customer Contact Name*
Contact Email*
Enter EmailConfirm Email
The Customer*
Type Of Customer*
Trading Name (Sole Trader / Partnership / Company)*
Liquor License Number*
PLEASE INCLUDE ALL PREFIX LETTERING ETC EG. LIQH400143657
Registered Office
Street Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Is this the delivery address? *
- Yes
- No
THE DELIVERY ADDRESS WILL BE WHERE ALL STOCK IS DELIVERED ON A DAY TO DAY BASIS. IF THIS IS TO CHANGE PLEASE NOTIFY VINES TO VENUES PTY LTD DIRECTLY ON 02 9439 6490
Delivery Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Delivery Instructions *
ARE THERE ANY DELIVERY INSTRUCTIONS INCLUDING BUILDING ACCESS, TIME FRAMES ETC... PLEASE NOTE WE DO NOT DELIVER BETWEEN 11:45AM - 2:30PM
Postal Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
All invoices, Statements etc will be sent to this address.
PHONE*
FAX*
MOBILE*
Is The Business?*
ACN No.
ABN No. *
Accounts Contact Name*
Accounts Contact Phone
Accounts Contact Email*
Enter EmailConfirm Email

#1 Full Name*
FirstLast
NAME/S AND ADDRESS OF PROPRIETORS (WHERE THE CUSTOMER IS A SOLE TRADER PARTNERSHIP) OR DIRECTOR(s) OF THE CUSTOMER (WHERE THE CUSTOMER IS A COMPANY)
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
Phone*
Email*
Enter EmailConfirm Email
Drivers License Number *
#2 Full Name
FirstLast
NAME/S AND ADDRESS OF PROPRIETORS (WHERE THE CUSTOMER IS A SOLE TRADER PARTNERSHIP) OR DIRECTOR(s) OF THE CUSTOMER (WHERE THE CUSTOMER IS A COMPANY)
#2 Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code
#2 Phone
#2 Drivers LIcense Number *
#2 Email
Enter EmailConfirm Email

Nature of Business*
Date Business Commenced Trading *
Name Of Trading Bank*
Branch Location*
Extent Of Credit Sought $*
THIS AMOUNT SHOULD REPRESENT THE TOTAL CREDIT SOUGHT FOR A 14 DAY PERIOD, BASED ON THE VINES TO VENUES PTY LTD TRADING TERMS.
Trade Reference - One *
***PLEASE NOTE LION NATHAN, FOSTERS GROUP, BACARDI LION, AND DIAGEO WILL NOT BE ACCEPTED AND THIS APPLICATION WILL BE REFUSED, AS THEY DO NOT GIVE TRADE REFERENCES.
Trade Reference One - Contact Phone *
Trade Reference - Two*
***PLEASE NOTE LION NATHAN, FOSTERS GROUP, BACARDI LION, AND DIAGEO WILL NOT BE ACCEPTED AND THIS APPLICATION WILL BE REFUSED, AS THEY DO NOT GIVE TRADE REFERENCES.
Trade Reference Two - Contact Phone *
Terms & Conditions *
- YES
- NO
I (the above named customer) AGREE THAT THE INFORMATION PROVIDED ABOVE IS BOTH TRUE AND CORRECT AND THAT ANY FALSE OR MISLEADING INFORMATION WILL RESULT IN THE CANCELLATION OF THE CUSTOMER'S APPLICATION.
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