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Reseller Application


(Please note: This figure is subject to approval)

TRADE REFERENCES: List only businesses you have traded with for at least 6 months. Exclude service accounts (eg electricity, petrol, oil & gas).
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Aurora Pacific Ltd will use any personal information on this form for credit, administration, and service. You consent to receive emails from Aurora Pacific Ltd related to those purposes. If full information is not provided your application for credit may be declined. You have the right of access to, and to ask for correction of personal information.

You authorise any person or company to provide Aurora Pacific Ltd with such information as it may require in response to credit and/or other enquiries. You further authorise Aurora Pacific Ltd to furnish to any third party details of this application and any subsequent dealings that you may have with it as a result of this application being actioned by you and in relation to any account you may have with it. You understand that Aurora Pacific Ltd may register a security interest over any goods it supplies to you.