Graphic Art Mart

QLD | 36 Vauxhall Street Virginia, QLD, 4014 | P: (07) 3025 5600 | qld@gamart.com.au Account Application Form Page 254 of 4 ABN: 26.001.111.904 ACN: 001.111.904 When form is completed please fax to relevent office or e-mail to: accounts@gamart.com.au NORTH ROCKS | 2/25 Loyalty Road, North Rocks, NSW 2151 | P: (02) 8843 0299 | nsw@gamart.com.au PEAKHURST | 3/35-37 Norman Street, Peakhurst, NSW, 2210 | P: (02) 02 9717 5700 | peakhurst@gamart.com.au MOUNT WAVERLEY | 6/163-179 Forster Road, Mount Waverley, VIC, 3149 | P: (03) 8609 14300 | vic@gamart.com.au SUNSHINE WEST | Factory 2, 177 Fairbairn Road, Sunshine West, VIC, 3020 | P: (03) 8562 1000 | sunshine@gamart.com.au WA | 20 Brennan Way, Belmont, WA, 6104 | P: (08) 9277 0600 | wa@gamart.com.au SA | 27 Furness Avenue, Edwardstown, SA, 5039 | P: (08) 8275 9900 | sa@gamart.com.au NT | 2/16 Charlton Court, Woolner, NT, 0820 | P: (08) 8981 2959 | nt@gamart.com.au Trading Name ................................................................................................................................................................................. Registered Company Name (If Applicable) ............................................................................................................................................... ABN Number .................................................................................................................................................................................... Type of Business (Sole Trader, Partnership, Pty Ltd Company, Limited Company) . ................................................................................................................. Paid up Capital of the Company (If Applicable) ....................................................................................................................................... Net Tangible Assets ......................................................................................................................................................................... Date Business Started . ................................................................................................................................................................... ......................................................................................................................................................................................................... Registered Business Address Unit No. (If Applicable) ..................... Street No. ................................................. Street Name ......................................................................................................... Suburb ...................................... State ................... P/code ................................... Years at Address .................................................................................................. Phone Number (.......) ...................................................................................................................................................................... Fax Number (.......) .......................................................................................................................................................................... Delivery Address ............................................................................................................................................................................. ......................................................................................................................................................................................................... Postal Address: (Write As Above If Applicable) ................................................................................................................................................... ......................................................................................................................................................................................................... Special Instructions (If Applicable) ............................................................................................................................................................ .......................................................................................................................................................................................................... Primary Contact Purchasing Accounts Title First Name Surname Phone Number Fax Number Mobile Number E-mail Address Bank Details BSB Number .......................................................................... Account No. .................................................................................. Bank ................................................................................................................................................................................................. ......................................................................................................................................................................................................... 1 of 3