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Credit Account Application
*
Indicates required field
Name of Applicant
*
First
Last
[object Object]
Job Designation
*
Name of Business or Orgnisation
*
Email
*
Please answer the questions below:
Has your firm traded with VT Solutions before?
*
Yes
No
If you selected Yes above, when did you first trade with VT Solutions?
*
Do you currently have a Cash or Credit Account with VT Solutions?
*
Cash
Credit
None
What do you intend to purchase from VT Solutions?
*
IT Hardware & Peripherals
IT Software & Licenses
IT Diagnostics & Repair Services
IT Managed Services
IT Consultancy Services
IT Installations & After-Sale Support
DR Services
Cabling Products
Cyber Security Support Services
Networking Support Services
Cabling Installations & Services
CCTV & Premises Security Products
Other
How much do you intend to spend monthly with VT Solutions?
*
What monthly credit limit do you want set on your account?
*
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
$10,000
$10,001 plus
If you chose $10,001 or more above, please indicate the value (up to the maxium monthly spend you intend to make):
*
Please provide details of your business or organisation:
Registered Name of Business
*
Type of Business
*
Sole Trader
Partnership
Private Company
Public Company
Trustee
NGO
Government
Other
Business Registration No
*
Date of Incorporation
*
Business Tax ID No
*
Business Website
*
Business Phone No
*
Email to send business correspondences to
*
Email to send invoices to
*
Business Physical Address
*
Line 1
Line 2
City
State
Zip Code
Country
Is your business postal address the same as its physical address?
*
Yes
No
If your answer is Yes, go to next question. If your answer in No, provide the postal address.
Postal Address (if different from Physical Address)
*
Please provide details of the directors or owner(s) of your business who will act as guarator(s) for your credit:
Name of Director 1 & Guarantor 1
*
Designation of Director 1
*
Email of Director 1
*
Name of Director 2 & Guarantor 2
*
Designation of Director 2
*
Email of Director 2
*
Please provide below details of 3 other businesses that can provide references of your trading history with them:
Name of Business 1
*
Must be a registered business in Fiji.
Name of Contact in Business 1
*
Name of Business 2
*
Name of Contact in Business 2
*
Name of Business 3
*
Name of Contact in Business 3
*
Terms of Payment:
Select your preferred Term of Payment:
*
7 days
14 days
21 days
30 days
Please read our
Terms of Trade
before you submit this:
I have read VT Solutions' Terms of Trade and hereby declare
*
I understand and agree to the Terms of Trade with VT Solutions
I understand and have further queries on the Terms of Trade with VT Solutions
I understand and do not accept the Terms of Trade with VT Solutions
Submit
Home
Services
Managed IT Services
Network & Cyber Security
Business Continuity
ICT Strategy & Solutions
Cabling Solutions
Surveillance & Security
HelpDesk
Mobile Tech Support
Buy IT
>
RMA Form
About Us
Partner Vendors
Terms of Trade
Credit Application
Careers
>
Reference Check Form
Contact Us