Account Application

Please enter your details below, and we will in contact within two business days.

Account Application
Type of business

Accounts Department

Trade References

Authorised Signature

I confirm that I am a duly authorised officer of the above-mentioned company and the information supplied on this form is true and accurate to the best of my knowledge.

I acknowledge that as we engage GCHC Ltd for services, we agree to the terms and conditions as set out by GCHC Ltd.

Terms and Conditions are available on request but are bound by standard 20th of the following month payment terms.

The person who signs this Supply Agreement / Credit Application on behalf of the customer acknowledges and agrees that the person is also personally liable as a principal debtor for the customer’s obligations to the company as if the person was the customer.

GCHC Ltd Loft 3, 36-38 Southwark Street, Christchurch 8011
hello@goodcleanhealthco.com | 03 595 6552