Account Application

New WHG Customer? Apply for a wholesale account here

Note: You must have a commercial premises to be approved for a wholesale account.

Account Application Form

Business Information

Registered Business Name *

Type of Business *

Contact Person *

Please enter the Contact Person

Registered Business Address *

Suburb *

Please enter the Suburb

State *

Please enter the State

Postcode *

Please enter the Postcode

Country *

ABN

ACN

Office Phone

Mobile Phone

Email Address *

Please enter your Email Address

Website

Opening Hours

Delivery_Instructions

Do you have a Forklift?
Yes

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Trade Reference 1

Organisation or Business Name *

Address *
Please enter the Address

Phone *

Please enter the Phone Number

Email Address *
Please enter the Email Address

Type of account held with this Referee *
(e.g. 14 day credit)

Please enter the Type of Account held

Credit Limit *

Please enter the Credit Limit

Length of time you have held this account *

Trade Reference 2

Organisation or Business Name *

Address *
Please enter the Address

Phone *

Please enter the Phone Number

Email Address *
Please enter the Email Address

Type of account held with this Referee *
(e.g. 14 day credit)

Please enter the Type of Account held

Credit Limit *

Please enter the Credit Limit

Length of time you have held this account *

Trade Reference 3

Organisation or Business Name *

Address *
Please enter the Address

Phone *

Please enter the Phone Number

Email Address *
Please enter the Email Address

Type of account held with this Referee *
(e.g. 14 day credit)

Please enter the Type of Account held

Credit Limit *

Please enter the Credit Limit

Length of time you have held this account *

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Account Application