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Supplier Accreditation Form

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Legal name of business*

Trust name (if applicable)

Trading name (if applicable)

ABN*

Street address*

Mailing address (if different from above)

Phone*

Website

Account name*

Bank name*

BSB number*

Account number*

Email address for remittances*

Contacts*

Owners name/s*

Owners phone*

Owners email*

Copy of owner/s Drivers Licence (both sides)

Max. file size: 128 MB.

Accounts

Accounts contact name

Accounts contact phone

Accounts contact email

Number of years trading

Total number of staff

Number of sales staff

Typical equipment to be financed (eg IT; Office equipment; Telecommunications; POS; Industrial equipment etc)

Typical transaction size

Expected finance amounts per month

Can your customers order online

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