RAT account application form

Applicant's Full Legal Name (hereby known as the "Customer")

Sole Trader
Individual
Partnership
Limited Company
Other (please state) 

If a Limited Liability Company;
Incorporation Number         Incorporation Date

 

Trading as

Inaugural Date of Trading 

Postal Address

Delivery Address

Contact Name                   Position held in company

Telephone                         Fax                                  Email
 

TRADE REFERENCES (three references are mandatory):
Company                          Contact Name                   Phone Number

ACCEPTANCE of TERMS and CONDITIONS of TRADE (mandatory):
I/We have read and agree to be bound by the Terms and Conditions of Trade as published on the RAT website selectYESNO. I warrant to Rotational Alignment Technologies Ltd. that the above information is to the best of my knowledge, information and belief true and correct and that I am duly authorised to enter into this application and future contracts on behalf of the Customer selectYESNO. I also acknowledge that pursuant to the personal guarantee contained in the Terms and Conditions of Trade that, where relevant, I/We am/are also lodging this application form in my/our personal capacity selectYESNO.

Applicant's name               Applicant's DOB

Position held in company   Date of Application

Additional Information