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Online Management | Request For Account

We wish to open an account with your company for Transport/Storage.
Details are as follows:

Company Name:
ABN:
Accounts Contact:
Street Address:
Postal Address:
Phone:
Fax No:
Email:
Proprietors or Directors:
Type of Business:
Trade References: (List at least Three)
Contact/phone:
Contact/phone:
Contact/phone:
By Submitting this application we certify that the information given is true and correct and we agree to adhere to the standard payment terms of Hi-Tech Express Holdings Pty. Ltd.
Person submitting form:
Position:
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