Kiwi Plants Limited

Kiwi Plants Limited Domestic Order Form

All questions marked with a * are mandatory
 

Part A - Contact Details

Full Name: *
Address (Number): Address (Street) *
City: *Email Address: *
Tel No:Fax No:
 

Part B: Business Details Only

1. Please provide the name of your business and any parent or subsidiary
 
2. Please provide the address of your business including post code.
     Registered Office
     Ordering Address (if different)
     Payment Address (if different)
 
3. Please provide your telephone, fax number, email and web site address:
     Tel No:     Fax No:
     Email:      Website URL
 
4. Please state the nature of your business and your main products / services
    Business NatureMain Products/Services
 
5. Please provide your company registration number, years in business and GST number:
     Company Reg:      Years in Bus:
     GST No:
 
6. What is the legal status of your business?  
 

Ordering Goods And Services

7. Please provide a brief description of the goods or services you wish Kiwi Plants Ltd to supply.
       
 

Part C: Our Bank Details

8. Payment can be made directly into our bank. Details and bank account number are shown below. If you are unable to make payment by this method secure payment may be made by credit card using a person to person telephone conversation.
 
          Bank Of New Zealand (BNZ)  Account no:   020544-0238228-00
 
9. Payment Details.
      Unless by arrangement all orders in advance. Refer to our Terms and Conditions for more detail.
 
10 Business payment terms are 30 days. Please specify any variation and early payment discount
 
11. Declaration (to be selected)
      I confirm that all the information given is accurate and that I agree to Kiwi Plants Ltd's terms. * Yes No
 
Name: *Position:
Date: *
 
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