COD Account Application Form

Schedule 2 - Application for COD Account

* Denotes Required Field

1. Account Details

Business/Company Name *Please fill the required field.

A.B.N. *Please fill the required field.

A.C.N.

Are you: *

Corporation

Partnerchip

Sole Trader

Please fill the required field.

Phone Number *Please fill the required field.

Mobile Number *Please fill the required field.

Email *Please fill the required field.

Registered Business Name *Please fill the required field.

Accounts Contact *Please fill the required field.

Date Business Commenced

Type of Business

2. Freight

Delivery Address *Please fill the required field.

Is this a Residential Address? *

Yes - Residential

No - Commercial

Please fill the required field.

Freight Option *

Pick Up

Betta Blinds Freight**

Courier Company

Please fill the required field.

** Betta Blinds Freight: Available for customers with Retail Outlet only with truck access. If not in a location easily accessible for our 16m truck external couriers will be used.

Postal Address

3. Details of Directors / Partners

(Space for three to be completed)

Director / Partner - One

Name (Director / Partner 1) *Please fill the required field.

Address (Director / Partner 1) *Please fill the required field.

Business Phone (Director / Partner 1) *Please fill the required field.

Private Phone (Director / Partner 1) *Please fill the required field.

Date of Birth (Director / Partner 1) *Please fill the required field.

Mobile Phone (Director / Partner 1) *Please fill the required field.

Drivers License Number (Director / Partner 1) *Please fill the required field.

Director / Partner - Two

Name (Director / Partner 2)

Address (Director / Partner 2)

Business Phone (Director / Partner 2)

Private Phone (Director / Partner 2)

Mobile Phone (Director / Partner 2)

Date of Birth (Director / Partner 2)

Drivers License Number (Director / Partner 2)

Director / Partner - Three

Name (Director / Partner 3)

Address (Director / Partner 3)

Business Phone (Director / Partner 3)

Private Phone (Director / Partner 3)

Mobile Phone (Director / Partner 3)

Date of Birth (Director / Partner 3)

Drivers License Number (Director / Partner 3)

4. Trust Details

Do any of the directors’ act as trustees for a family trust, if so, indicate person/s involved, by marking “T”:

If a trust Company, is the trustee a unit trust?

Yes

Name of trustee/s

Date of Trustee’s appointment

Date of Creation of trust

Full names of beneficiaries of unit trust

Acknowledgement: *

I/We declare that the contents entered in this form are true and correct.

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fX08L3A+CjxwPjxzdHJvbmc+RnVsbCBuYW1lcyBvZiBiZW5lZmljaWFyaWVzIG9mIHVuaXQgdHJ1c3Q6IDwvc3Ryb25nPnt7dHJ1c3QtYmVuZWZpY2lhcmllc319PC9wPgo8cD48c3Ryb25nPkFja25vd2xlZGdlbWVudDogPC9zdHJvbmc+PC9wPgo8cD48c3Ryb25nPkkvV2UgZGVjbGFyZSB0aGF0IHRoZSBjb250ZW50cyBlbnRlcmVkIGluIHRoaXMgZm9ybSBhcmUgdHJ1ZSBhbmQgY29ycmVjdC46IDwvc3Ryb25nPnt7ZGVjbGFyYXRpb259fTwvcD4KCg==

Contact Us

Shop 6, Mammoth Business Centre
380 Mons Road , Forest Glen

Sunshine Coast
Queensland 4556, Australia

Manufacturing

Betta Blinds and Awnings is a manufacturer and wholesaler.

We can connect you with retailers who will be delighted to help: Find a Retailer

Information

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Schedule 2 - Application for COD Account

1. Account Details

2. Freight

3. Details of Directors / Partners

(Space for three to be completed)

Director / Partner - One

Director / Partner - Two

Director / Partner - Three

4. Trust Details

Contact Us

Manufacturing

Information

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