1. To apply for a credit account with Associated Industries, please fill in the online form below and click on the submit button.  
     
  2. Alternatively, you can download the Application Form in MS Word format, fill it in and fax it to:
(011) 621-4002
 
 
Credit Application Form:
MS Word document  |  Filesize:  37.5kb  |  Download
 
     
  3. Conditions of sale are subject to our terms and conditions. You can download a copy in MS Word format:  
 
Terms and Conditions:
MS Word document  |  Filesize:  31kb  |  Download
 
     
Online Credit Application Form (please fill in all fields possible)
Company Information
Name of company
Street address

   Post Code: 
Postal address

   Post Code: 
E-mail
Telephone number (area code-number)
Fax number (area code-number)
Nature of business
Type of company
Names and addresses of directors, partners, members, or proprietor of business Name:    
Address:
            

Name:    
Address:
            

When was your business started? (dd/mm/yyyy)
Names of associated companies
Name of parent company
Name and address of auditors

   Post Code:   
Name of person responsible for trade payments
VAT registration number
SAR ledger account number
Trade References (Names and telephone numbers of three current references)
Tel (area code-number)
Tel (area code-number)
Tel (area code-number)
Financial Information
Banker's name  Branch  
Account number
Maximum credit required  
Declaration
I hereby certify that by submitting this form, I am duly authorized to make this application.
Name
Position in company
Note: this form is merely an enquiry
   

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