Registered Company Name *
Registered Company Address *
Company Telephone Number *
Trading As
ABN or ACN *
Years Traded *
Nature of Business *

Accounts

Full Name *
Email Address *
Telephone Number *

Purchasing

Full Name *
Email Address *
Telephone Number *

Directors

Name
Address

Bank Information

Bank Name
Bank Address
Expected Monthly Purchases

Trade References

Reference 1

Company Name
Referee
Full name of contact person
Contact Number

Reference 2

Company Name
Referee
Full name of contact person
Contact Number

Reference 3

Company Name
Referee
Full name of contact person
Contact Number

The applicant agrees to be bound by Extel’s Standard Terms and Conditions of Sale provided to the applicant from time to time (“Standard Terms”). To the extent there is any inconsistency between the Standard Terms and any terms below, the terms below and on our website will prevail.

Payment: Payment terms are 30 days from the date of invoice. Should accounts become overdue they are to be automatically suspended until bought within trading terms. Extel reserves the right to charge interest on overdue accounts. Interest will be charged at a rate of two percent (2%) per month.

Quotation: Extel’s quotations are open for acceptance for the period specified in the quotation.

Delivery: Delivery will be as agreed in writing.

Retention of Title: Extel’s retention of title to goods is on the terms contained in Standard Terms.

Privacy Act – Notice of Disclosure: The applicant acknowledges information may be passed to and from a credit reporting agency under the Privacy Act 1988.

The applicant agrees that we may contact any trade reference at any time and assess credit worthiness.

The applicant agrees that information regarding credit worthiness be passed on to/or received by any other credit provider for assessment.

The applicant also agrees that in the case of payment default we may disclose all details of the account to a collection agency for recovering the outstanding balances.


The above details are provided in confidence and are true and accurate. We agree to pay promptly in accordance with the Company’s terms.

Signatory Name
Signatory Position
Digital Signature *

ITAR registration download.

Available upon request.

Please complete the form below. A member of our team will review your request and provide the ITAR registration information.

For security reasons, ITAR information is only provided to company email addresses.

DISP registration download.

Available upon request.

Please complete the form below. A member of our team will review your request and provide the DISP membership and certification information.

For security reasons, DISP information is only sent to company email addresses.

Credit application form download.

Please complete the details below to access your form.

ISO13485 certification download.

Please complete the form below to access your download.

AS9100D certification download.

Please complete the form below to access your download.

ISO9001 certification download.

Please complete the form below to access your download.

Product development capability statement.

Please complete the form below to access your download.

Advanced manufacturing capability statement.

Please complete the form below to access your download.

Supplier quality agreement.

Please complete the form below to access your download.

Procurement terms and conditions.

Please complete the form below to access your download.