TACTILE SYSTEMS AUSTRALIA PTY LTD
ACN 105 405 785 | ABN 69 105 405 785
2/46 Blanck Street
Ormeau QLD 4208
Tel: (07) 5580 6993
Fax: (07) 5580 6994
Email: accounts@tactilesystems.com.au
Web: www.tactilesystems.com.au
Credit Account Application Dec 2024

APPLICATION FOR CREDIT ACCOUNT

The Customer described in this document ( Customer, you) applies to Tactile Systems Australia Pty Ltd (ACN 105 405 785) ( Supplier, we, us) to supply Goods and Services on credit on the terms set out in this document.

Please ensure you have completed all parts of this document before you submit your application. A failure to complete any part of this document, or to sign this document, may result in delays in processing your application or its rejection.

PART 1: CUSTOMER INFORMATION

CUSTOMER DETAILS

Name of Legal Entity *

Please specify

Trading Name *(if any)

Name of Trust(if applicable)

ABN *

Registered Address *

Business Address *

Postal Address *

Business Telephone *

Email Address *

Date Business Commenced

Nature of Business

Estimated Monthly Purchases:

Monthly Credit Requested *

Purchasing Contact

Telephone

Email Address

Accounts Payable Contact *

Telephone *

Email Address *

DETAILS OF DIRECTORS / PARTNERS / SOLE TRADER

Full Name *

Title / Position *

Residential Address:

Email Address *

Date of Birth

Mobile *

Drivers Licence No. *

Director ID (DIN) No.

TRADE OR BUSINESS REFERENCES

Business Name *

Telephone *

Email Address *

PART 2: Declaration and Execution

Each signatory to this document warrants that they, on behalf of the Customer:

need only sign this document if they are seeking to trade on credit terms;
have read, understand, and agree to the Privacy Statement;
have read, understand, and agree to the Credit Facility Terms;
have read, understand, and agree to the Terms of Trade, which may be found at https://tactilesystems.com.au/terms-conditions/ or upon request by email to accounts@tactilesystems.com.au;
acknowledge and agree that this document is an agreement incorporating each of the above documents ( Credit Application);
understand that if the Customer is a company that the establishment of a credit facility may be conditional upon the Customer’s directors each executing the Deed of Guarantee and Indemnity; and
have had the opportunity to obtain independent legal advice prior to signing this Credit Application and (if applicable) the Deed of Guarantee and Indemnity and have either obtained that advice or chosen not to obtain it.

Additionally, each signatory to this document warrants that they, as an individual, have read, understand, and agree to the Privacy Statement as if the references in that document to “you” were a reference to each signatory.

IMPORTANT

You should only sign this declaration if this credit is wholly or predominantly for business purposes or investment purposes other than investment in residential property.

By signing this declaration you may lose your protection under the National Credit Code

Declaration of Purpose for Which Credit is Sought

I/We declare that the credit sought by the Customer from the Supplier is to be applied wholly or predominantly for business purposes or investment purposes other than investment in residential property.

*

PART 3: PRIVACY STATEMENT

I acknowledge that I have read the terms & conditions stated in Part 3 via the following link.
PART 3 - TERMS & CONDITIONS *

PART 4: CREDIT FACILITY TERMS

I acknowledge that I have read the terms & conditions stated in Part 4 via the following link.
PART 4 - TERMS & CONDITIONS *

PART 5: DEED POLL OF GUARANTEE AND INDEMNITY

I acknowledge that I have read the terms & conditions stated in Part 5 via the following link.
PART 5 - TERMS & CONDITIONS *

PART 6: TERMS OF TRADE

I acknowledge that I have read the terms & conditions stated in Part 6 via the following link.
PART 6 - TERMS & CONDITIONS *

Declaration and Execution

Each signatory to this Deed of Guarantee and Indemnity warrants and agrees that they:

need not sign the Deed of Guarantee and Indemnity if they are not seeking credit on behalf of the Customer;
agree to the terms of the Privacy Statement, contained within this document, as if the references to “you” were a reference to each Guarantor;
have read and understand the Credit Facility Terms, which are contained in the Credit Application;
have read and understand the Terms of Trade, which may be found at https://tactilesystems.com.au/terms-conditions/ or upon request by email to accounts@tactilesystems.com.au;and
have had the opportunity to obtain independent legal advice prior to signing this Deed of Guarantee and Indemnity and have either obtained that advice or chosen not to obtain it.

WARNING: THIS IS AN IMPORTANT LEGAL DOCUMENT.YOU SHOULD OBTAIN INDEPENDENT LEGAL ADVICE BEFORE SIGNING IT.

Signed Sealed, and Delivered as a Deed Poll by:

Title / Position *

Date *

Full Name *

Witness Name

Signature *

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Witness Signature

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