Account Referral Form
Please complete the attached form if referring a new account to us. If you have attachments to send please email them to [email protected]ctfs.com.au  Please use your reference / account number in the header for the email.
Your company name
Your Email
Debtor name and or company name
Your Reference / Acc Number
Your Phone Number
Trading name if different to Company name
Contact Person/s
Contact Person/s Position
Debtor Phone
Debtor Mobile
Debtor Phone Other
Debtor Email
Other
Trading or Residential Address
Postal Address if different
Debtor / Guarantor 1 Name
Debtor / Guarantor 2 Name
Debtor / Guarantor 3 Name
Debtor / Guarantor 1 Address
Debtor / Guarantor 2 Address
Debtor / Guarantor 3 Address
Debtor / Guarantor 1 Email
Debtor / Guarantor 2 Email
Debtor / Guarantor 3 Email
Debtor / Guarantor 1 Home Phone
Debtor / Guarantor 2 Home Phone
Debtor / Guarantor 3 Home Phone
Debtor / Guarantor 1 Mobile Phone
Debtor / Guarantor 2 Mobile Phone
Debtor / Guarantor 3 Mobile Phone
Debtor / Guarantor 1 Phone Other
Debtor / Guarantor 2 Phone Other
Debtor / Guarantor 3 Phone 3
Debtor / Guarantor 1Alias
Debtor / Guarantor 2 Alias
Debtor / Guarantor 3 Alias
Debt Date From:
Debt Date To:
Total Owing
Details of any known dispute
Any Additional Infiormation?
Any specific instructions?
Submit
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