Application For Commercial Credit 2023

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The Customer described in this document (Customer, you) applies to Hex Hire Pty Ltd ABN 22 677 838 710 trading as HEX Hire (Supplier, we, us) to hire Equipment and provide Services on credit on the terms set out in this document.

Please ensure you have completed all parts of this document before you submit your application. A failure to complete any part of this document, or to sign this document, may result in delays in processing your application or its rejection.

Who from HEXhire referred you to this form?(Required)

Customer Details

Operating Structure(Required)

Sole Trader

Partnership

Private Co.

Public Co.

Trust

Other

Registered Name(Required)

Trading Name

(if any)

Name of Trust

(if applicable)

ACN

(if applicable)

ABN

Registered Address(Required)

Business Address(Required)

Business Telephone(Required)

Business Email Address(Required)

Date Business Commenced(Required)

Nature of Business(Required)

Purchasing Contact(Required)

Telephone No.(Required)

Email Address(Required)

Accounts Payable Contact(Required)

Telephone No.(Required)

Email Address(Required)

Email Address 2

Do you require a PO?

(Skip if do not require)

Details of Sole Trader / Directors / Partners / Authorised Personnel

Person 1

Full Name(Required)

Date of Birth(Required)

Mobile No.(Required)

Driver’s Licence No.(Required)

Email Address(Required)

Residential Address(Required)

Person 2

Full Name

Date of Birth

Mobile No.

Driver’s Licence No.

Email Address

Residential Address

Please attach a list if there are additional partners or directors. Please provide a copy of the driver’s licence (front and back) for each of the above-named persons.

Credit Details

Estimated Monthly Spend ($)(Required)

Please enter a number greater than or equal to 0.

Credit Limit Requested ($)(Required)

Please enter a number greater than or equal to 0.

Requested Payment Terms(Required)

Insurance Documents (If Applicable)

Disclaimer: In case of no insurance, damage waiver will be applied.

Please upload relevant documents i.e 'Plant and Equipment Hire Insurance'.

File

Drop files here or

Accepted file types: jpg, zip, png, pdf, Max. file size: 5 MB.

Trade References

Person 1

Business Name(Required)

ABN(Required)

Telephone No.(Required)

Email Address(Required)

Person 2

Business Name

ABN

Telephone No.

Email Address

Person 3

Business Name

ABN

Telephone No.

Email Address

Declaration and Execution

Each signatory to this Application for Commercial Credit warrants that they, on behalf of the Customer:

Declaration & Execution Lists - Application for Commercial Credit warrants(Required)

need only sign this application if they are seeking to trade on credit terms;

have read, understand, and agree to the Privacy Statement;

have read, understand, and agree to the Credit Facility Terms;

have read, understand, and agree to the Terms and Conditions of Hire, which may be found at www.hexhire.com.au or upon request by email to accountsreceivable@hartegroup.com.au

understand that if the Customer is a company that the establishment of a credit facility may be conditional upon the Customer’s directors each executing the Deed of Guarantee and Indemnity; and

have had the opportunity to obtain independent legal advice prior to signing this application and have either obtained that advice or chosen not to obtain it.

Declaration of Purpose for Which Credit is Sought

I/We declare that the credit sought by the Customer from the Supplier is to be applied wholly or predominantly for business purposes or investment purposes other
than investment in residential property.

IMPORTANT

You should only sign this declaration if this credit is wholly or predominantly for business purposes or investment purposes other than investment in residential property.

By signing this declaration you may lose your protection under the National Credit Code

Signature(Required)

Signature

Full Name(Required)

Full Name

Title / Position(Required)

Title / Position

Date(Required)

Date

Declaration and Execution

Each signatory to this Deed of Guarantee and Indemnity warrants and agrees that they:

Declaration & Execution - Deed of Guarantee and Indemnity warrants(Required)

need not sign the Deed of Guarantee and Indemnity if they are not seeking credit on behalf of the Customer;

agree to the terms of the Privacy Statement, contained within this document, as if the references to “you” were a reference to each Guarantor;

have read, understand, and agree to be bound by the Credit Facility Terms, which are contained in this document;

have read, understand, and agree to be bound by the Terms and Conditions of Hire, which may be found at www.hexhire.com.au or upon request by email to accountsreceivable@hartegroup.com.au; and

have had the opportunity to obtain independent legal advice prior to signing this Deed of Guarantee and Indemnity and have either obtained that advice or chosen not to obtain it.

Signed, Sealed, and Delivered as a Deed Poll by:

Signature

Full Name

Date

WARNING: THIS IS AN IMPORTANT LEGAL DOCUMENT. YOU SHOULD OBTAIN INDEPENDENT LEGAL ADVICE BEFORE SIGNING IT.

Terms & conditions(Required)

Please read and accept our Terms & Conditions

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First Name

Confirmation First Name(Required)

Email

Confirmation Email(Required)

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