Hughes | Monthly Account

HUGHES MONTHLY CREDIT CARD ACCOUNT APPLICATION

To avoid delays in the processing your application please ensure all the relevant information is completed accurately.

Step 1: Contact Information

Name of Account:*

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Account Type:*

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Registered Company Name:

A.B.N:

Business Trading Name:

Region:*

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Street Address:

Postal Address:*

Same as Street Address

State:*

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Suburb

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Postcode:*

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HUGHES MONTHLY CREDIT CARD ACCOUNT APPLICATION

To avoid delays in the processing your application please ensure all the relevant information is completed accurately.

Step 2: Accounts/Administration Contact

Accounts User (this contact will also be able to make bookings)

First Name:*

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Last Name:*

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Telephone No:*

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Mobile No:

Email Address:*

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Additional Users (enter contact details below for users who will be making bookings)


First Name:			Last Name:

Email:

HUGHES MONTHLY CREDIT CARD ACCOUNT APPLICATION

To avoid delays in the processing your application please ensure all the relevant information is completed accurately.

Step 3: Credit Card Details

HUGHES MONTHLY CREDIT CARD ACCOUNT APPLICATION

To avoid delays in the processing your application please ensure all the relevant information is completed accurately.

Step 4: Acknowledgement & Agreement

We hereby authorise Equity Transport Group to charge all transfers made on this account during any particular month to the credit card listed above. I/We undertake to guarantee sufficient credit on this card to enable the charge to be processed.

We understand that an itemised statement of the charges will be forwarded to us by Equity Transport Group as a receipt of the charge/s to the above card for tax purposes. Our credit facilities may be terminated by Equity Transport Group if insufficient funds are available to process any charges. The card-holder may revoke the credit card authorisation by giving Equity Transport Group 30 days written notice provided all outstanding charges have been finalised.

Checkbox*

You have read, understand and acknowledge to abide by the above monthly charge conditions

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Name of Authorised person:*

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Company Position:*

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Date:*

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