Trade

Step 1/2

Credit Application

Trading Name

Legal Entity Name

ABN

Billing Address

Shipping Address

Delivery Instructions

Liquor License Number

Licensee

Phone Number

Mobile

Accounts Payable Manager

Phone Number

Email Address

Next Step

Step 2/2

Trade References (Wine or Liquor Companies preferably)

Note: Please do not use ALM/Harbottle/Metcash, Moet/LVMH, CUB, Tooheys, Lion Nathan/Fine Wine Partners, Pernod-Ricard or Treasury Wine Estates. They will not provide trade references.

Reference One

Phone Number

Reference Two

Phone Number

Reference Three

Phone Number

PAYMENT BY DIRECT DEBIT:
Kingfisher Wines PTY LTD.
BSB: 06 2207
ACCOUNT NUMBER: 1033 5731

PAYMENT BY CHEQUE:
Kingfisher Wines Pty Ltd.
PO Box 921
Narrabeen NSW 2101

I have read and agree to the Terms and Conditions

Back

Next step

Thanks! I have received your form submission, I'll get back to you shortly!

Oops! Something went wrong while submitting the form