Become a Masterpet Stockist

Confirming Your Details

First Name

Last Name

Your Email

Business Contact Number

Physical Address

Date of Birth

Driver's License Number

Please Contact our Accounts Department for billing matters

Yes I have an Accounts Department with different Contact InfoNo Please contact Me for Billing Matters

Manual Input Address

YesNo

Oops! We couldn't find your address, please enter your address manually or use the search above.

Country

Street

City

Postcode

State

Internal Address

Street

City

Postcode

State

Country

Business Details

Company Number (NZBN)

Date Incorporated (Current Owner)

Nature of Business

GST Number (if applicable)

Estimated Monthly Purchases

Credit Limit Requested

Purchase Order Required

YesNo

Accounts to be Emailed

YesNo

Store / Trading Name

Business / Corporate Name (if different)

Accounts Contact Information

First Name

Last Name

Accounts Email

Accounts Contact Number

Billing Address please Use

Billing Address

Details of Directors / Owners / Trustees

Number of Director / Owners / Trustees

Director / Owner / Trustee One

First Name

Last Name

Contact Number

Date of Birth

Driver's License Number

Private Address

Director / Owner / Trustee Two

First Name

Last Name

Contact Number

Date of Birth

Driver's License Number

Private Address

Director / Owner / Trustee Three

First Name

Last Name

Contact Number

Date of Birth

Driver's License Number

Private Address

Trade References

Please supply details of companies that are willing to provide trade references.

Reference One

Contact Name at the Business

Business Name

Address

Contact Number

Reference Two

Contact Name at the Business

Business Name

Address

Contact Number

Step 5: Confirmation and Signing

I certify that the information I have supplid is true & correct and that I am authorised to make this application for credit. I authorise the use of my personal information as detailed in the Privacy Act clause therein. I agree that if I am a director/shareholder (owning at least 15% of the shares) of the Client I shall be personally liable for the performance of the Client’s obligations under this contract.

Agree

I have read and understand the Masterpet Terms of Trade available here which are intended to be read in conjunction with this Credit Account Application and agree to be bound by these conditions.

Agree