Apply for an account

Please complete in full this form and make sure you've attached the required Proof of ID for each Shareholder if Partnership or the owner's if Trading As. The declaration section must be completed by a Director, Partner, Proprietor or Manager who is authorised to trade in name of the business.

Contact

This information will be used to Sign In into Enowines web and make orders

Business

Please make sure to complete all fields and provide a copy of Passport, Driver Licence or Birth Certificate if the business is a Partnership or Trading As.

Type:

Physical Address

Postal Address

Declaration

  • have completed this form;
  • have read the Terms and Conditions of Trade ;
  • understand the Terms and Conditions of Trade ;
  • agree to the Terms and Conditions of Trade;
  • confirm that I am authorised to accept these Terms and Conditions of Trade on behold of the Customer;
  • agree the Vendor shall retain full ownership of all Good and services supplied;
  • authorise any person or company, under the Privacy Act 1993, to provide the Vendor with any information the Vendor may require in response to its credit enquiries;
  • authorise you to furnish to any third party details of this application for credit and any subsequent dealings the customer may have with you;
  • undertake the pay the Account as it falls due;
  • acknowledge that in default of prompt payment, interest will accrue at the rate of 2.5% per month;
  • agree all unpaid accounts will incur collection/legal fees (as between solicitor and client).
Signed by

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on