Would you like to open a credit account with P&R Electrical? Please complete the following Business Information Form - this will shorten the approval process - and a sole trade or Pty Ltd account form will be emailed or posted to you for completion.

A credit account cannot be opened without a completed and sign account form.

Note: a P&R Electrical credit account is not necessary to order online. Payment can be made via credit cards.

Business Information

*	Required Field
*	Business or Trading Name:
*	Business Type:	Sole Trader Partnership Incorporated Entity Trust
*	Business Address:
*	Suburb:
*	State:	SA NSW Vic Qld Tas ACT NT
*	Postcode:
*	ABN:
*	Requested Credit Limit:
*	Phone:
	Choose method for delivery of Credit Application form:
		Sales Representative
		Post   ( Please enter Delivery Address details )
		Address:   Suburb: State: SA NSW Vic Qld Tas ACT NT Postcode:

Credit Reference Information

*	Please ensure you complete the information relevant to your Business Type. If your Business Type is Sole Trader or Partnership, please enter three Trade references.
	Reference 1:
	Reference 2:
	Reference 3:
	If your Business Type is Incorporated Entity or Trust, please enter the names of the Company's Director(s).
	Director(s) Name(s):