Company Charge Account | Tara Courier Services Ltd.

Please ensure to complete this form in full and do not omit any of the questions listed below. Once the application is reviewed and approved you will be sent the Charge Customer Agreement to be signed in duplicate. Thank you.

Company Contact Details

Name of Company: *

Company Address: *

Company Landline Number: *

Company Cell Number: *

Contact Person Details

Contact Person: *

Telephone Number: *

Cell Number: *

Name(s) of Person(s) authorised to place orders on company charge account:: *

Name(s) of Owner(s): *

Contact Nos. of Owners:: *

Email address/addresses to be used for electronic delivery of invoices: *

In our effort to reduce our carbon footprint TARA requires at least one (1) email address to be provided for electronic delivery of invoices. Please provide the appropriate address/addresses.

Date Business Started:: *

TRN Number: *

Premises owned/rented by?: *

Subject to GCT: *

Yes

If 'no' you will be required to provide the supporting documentation.

Banking Information

Principal Bank: *

Principal Bank's Address: *

How long has the company been with this bank?: *

References

The names and telephone Numbers of three references are required here (your references cannot be related to you).

Reference No.1

Name: *

Telephone Number: *

Reference No.2

Name: *

Telephone Number: *

Reference No.3

Name: *

Telephone Number: *

Creditor Information: Who are your largest creditors?

Name of Company, Contact Name, Contact Tel # and Credit Limit are required here (NOT including banks).

Creditor No.1

Name of Company: *

Contact Name: *

Contact Tel #: *

Credit Limit: *

Creditor No.2

Name of Company: *

Contact Name: *

Contact Tel #: *

Credit Limit: *

Creditor No.3

Name of Company: *

Contact Name: *

Contact Tel #: *

Credit Limit: *

Have you used our services before?: *

Payment Terms

Payment must be made within 5 days of invoice. All payments are subject to GCT.