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Wholesale Application Form

Please fill out the following form. All fields are required.

Business details
Purchaser details
Accounts details
Trade references
  1. With your acceptance of the Terms and Conditions of the Alt Rd Wines Credit Account Application, Alt Rd Wines are authorised to make whatever inquiries it deems necessary in support of this application to assess credit worthiness.
  2. In acceptance of the Terms and Conditions, you are obliged to comply with Alt Rd Wines’ standard terms, including the settlement of our credit account with Alt Rd Wines within 30 days from the invoice date.
  3. It is warranted that all details supplied in the application are true and correct in every detail.
  4. Alt Rd Wines reserves all legal rights of ownership in relation to goods until all accounts owed by the purchaser to Alt Rd Wines are fully paid.