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NEW Wholesale Membership Application
Please complete the form below and a member from our team will get back to you.Please read our
Term of Trade
before you register with us.
Please enable JavaScript in your browser to complete this form.
Name of the company / Sole Trader / partnership
*
Trading as
*
ABN Numbers
*
TRADE REFERENCES ONE: Name
*
First
Last
Email
*
Phone:
*
TRADE REFERENCES TWO: Name
*
First
Last
Email
*
Phone:
*
I/We understand that Australian Health Distributors terms are 30 days from date of invoice and agree to pay in accordance with these terms. I/We the undersigned being the Principal/s of the above company hereby accept full responsibility for any debts incurred with Australian Health Distributors.
*
First
Last
Please tick the appropriate box to confirm the decision you are seeking
*
Yes, I am agree.
No, I am disagree.
Do you wish to receive marketing materials?
Please send me the latest offers
Company Contact Name: (For shipping and Billing)
*
First
Last
Position:
Phone:
*
Email
*
Conditions of Sale: 1. Payment in full is to be made within thirty (30) days from the date of invoice of goods. 2. Payments received will be offset against the whole of the Monies owing by the Applicant and will be deemed to have been paid only when the funds are cleared. 3. All goods shall remain the property of Australian Health Distributors until all debts due to Australian Health Distributors by the customer are paid in full. 4. Any claims by the Applicant for damaged goods need to be notified to Australian Health Distributors within 48 hours of receipt of goods. Failure to make a claim in such time shall result in the goods being deemed to have been accepted by the Applicant as being satisfactory and of merchantable quality. 5. Any loss or damage to the goods after delivery of the same Applicant shall be solely at the Applicant’s risk & expense. 6. The Applicant shall forthwith notify Australian Health Distributors in writing of any Orders made or resolutions passed for the winding-up of the Applicant or judgments against me/us, have not been Director/s of a company which has gone into liquidation, and acknowledge that you will base your consent on an open Credit Account on your faith in the truth of these statements. I/We also declare that I/We have read the terms and conditions of the Application and agree to be bound by them.
*
Yes, I am agree.
No, I am disagree.
Submit