APPLICATION FORM

Company Name *

Postal Address *

Street Address *

City/Town *

Phone:
Fax:
Mobile:

Email (required for invoicing) *

Contact Person *

Type of Business/Occupation

Names of Director/s/Manager/s/person/s of authority
1.

2.

3.

TERMS OF PAYMENT

I/We hereby acknowledge and agree that terms of payment to TOURNEMAIN COURIERS LTD is strictly by the 20th of the following month from date of invoice. Interest will be charged at 22% per month (compounding) on all overdue accounts. All debt collection fees will be the responsibility of the debtor. General terms and conditions of trade apply. Any interest owing due to late payment or debt collection fees incurred will be payable by me/us.

Name *
Position *

Date
20

 I/We hereby acknowledge and accept the TERMS AND CONDITIONS of Tournemain Couriers below. *
TERMS AND CONDITIONS

Name *
Position *

Date
20

captcha
Please fill in captcha code *

Fields marked with * are required

FacebookTwitterGoogle+Share