TRADE INFO

THERE ARE 2 WAYS YOU CAN SEND US YOUR INFORMATION.

1. PRINT OUT THE FOLLOWING ORDER FORM THEN FAX OR MAIL BACK TO US WITH THE CORRECT INFORMATION.

2. COPY THE FORM THEN PASTE IT INTO YOUR E-MAIL AND THEN SEND IT DIRECTLY TO US WITH THE CORRECT INFORMATION.

Flying Performance International Pty. Ltd.

Fax: +61 (02) 9639-8216

PO BOX 1463, STOCKLAND MALL, BAULKHAM HILLS, SYDNEY, NSW, 2153, AUSTRALIA.

Wholesale Trader & Car Club Record Sheet

Company / Club Name

Registered Trading Name

ABN

Commencement date of business

Company nature (Please tick one)

Automotive workshop ___ Performance tuner ___

Accessories retail ___ Car club ___

Address

Ph No.

Fax No.

Web Site

Where do you get to know our company?

All Proprietors or Directors names and addresses:

A/H Tel. No.

Trade References (2 if possible)

1. Name:

Phone:

Address:

2. Name:

Phone:

Address:

Name of person to contact regarding payment:

Bankers name and address:

Terms and conditions of trade:

Ø All goods will only be sent out when the full payment is received.

Ø Prices can change without notice. All prices quoted are Australian GST inclusive.

Ø All freight charges for the goods sold are upon customer’s responsibility.

Ø We have no responsibility whatsoever for any loss or damage in transit.

Ø Please note a 20% surcharge applies to returned goods.

Ø We reserve the rights to withdraw dealership at any time.

Ø For further details, please read our Company Policies.

Declaration

I/we hereby declare that the information in this application is true and correct to the best of

my/our knowledge and have the authority to sign this application.

__________________ __________________ __________________

Print name Date Signature

__________________ __________________ __________________

Print name Date Signature

Please note: This is not a Credit Application Form.