Skip to Content

Trade Account Application

Apply for a Dualcom Technology trade account.

Choose a prepaid trade account or apply for approved credit facilities.

1. Account Type

2. Business Details

If available, enter your New Zealand Business Number.

3. Addresses

Business Address

Delivery Address

4. Contacts

Primary Contact

This can be the same as the Business Email.

Accounts Payable Contact (Optional)

Complete this section if someone different from the primary contact handles your accounts.

5. Purchasing Information

$

6. Credit Details

$

Directors / Owners

Director / owner information is optional for prepaid accounts.

Director / Owner 1

Trade References

Please provide three current trade references.

Trade Reference 1

Trade Reference 2

Trade Reference 3

Declaration

I confirm that I am authorised to submit this application on behalf of the applicant and that the information provided is true and correct.

Sign above using your mouse, trackpad or touchscreen.