I certify that the above information is true and correct and that I am authorised to make this application for credit. I have read and understand the STANDARD TERMS OF TRADE of Matamata Industrial Machinery Imports Limited T/A MIMICO which form part of and are intended to be read in conjunction with this Credit Account Application and agree to be bound by these conditions.

I authorise the use of my personal information as detailed in the Privacy Act clause therein.