If you would like to stock Kahuna Products,
please email us for further info at:
Sales@Kahuna.com.au
Or fill out the form below.


Print 'N' Fax or Email Form
To apply to become a Kahuna Reseller:


Option 1
a. Print out application form
b. Complete ALL questions
c. Fax or post the form back to Kahuna

Option 2
a. Complete ALL questions online
b. Once complete, click the 'Send' button
ACCOUNT APPLICATION FORM 

Please note before completing this form:

This is not an application for extended credit term facilities.
Our terms of settlement being 14 DAYS. Our intention in offering account facilities is
merely to make day to day trading easier for our clients on a month to month basis.

 
 

Name of Company: 
Phone No:
Trading As:
ACN No:
Address:
Sales Tax No:
Plus Tax: Yes No
 
Name: 1.
 
 Address:
Name: 2.

 Address:
Name: 3.
 
Address:
 
Accounts Address:
Bank (incl. Branch & A/C No):
Address:
 
Trade Reference:

 		Phone:


  Phone:


  Phone:


     
 
GUARANTEE
 

Whereas Kahuna Action Products Pty Ltd has at my/our request agreed to supply MERCHANDISE hereinafter referred to as the "goods".

 
To:
Trading As:
 

We hereby Irrevocably covenant and agree with Kahuna Action Products Pty Ltd that I/We shall be jointly or severally liable to Kahuna Action Products Pty Ltd for the repayment of money now or hereafter, due and payable on goods as purchased by me/us jointly or severally. Furthermore, I/We declare any interest, proven expenses, legal or otherwise incurred by Kahuna Action Products to recover outstanding monies owed by me/us will be my/our sole responsibility jointly or severally and recognise and agree that reimbursement of such interest, and proven expense, legal or otherwise will be repaid in full to Kahuna Action Products Pty Ltd.

 
 
Signed: ....................................................
Name:
Date:

Signed:

 ............................................
Name:
Date:

 
Please read the "Terms and Conditions" .