Sign Up To Be a PFD Customer

Please use CAPITAL LETTERS to complete this form

This application will allow you to open either a COD account or a weekly account with a maximum $2,000 credit limit.

If you require a higher limit or monthly terms please indicate this in your application by selecting monthly terms.

Additional forms will be sent to you for completion. Once submitted, your request will be assessed and our team will be in touch with you as soon as possible.

• Contact Name
• *Registered Name: *Trading name
• ABN Number:
• Contact Number:
• Email
• Confirm Email
• Comments