Supplier Form - Central Coast

Supplier Form – Central Coast

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Legal Entity Name*

Trading Name (if different to Legal Entity Name)

Do you have an ABN*

Yes

ABN*

Please enter your 11-digit ABN with no spaces

Statement by Supplier*

If ABN is not applicable, please complete an ATO Statement by a Supplier Form indicating reason for not quoting an ABN. Download a form from here, complete the form and then upload it here

Max. file size: 25 MB.

Business Address*

Enter in your address and then select from the dropdown

Street Address Address Line 2 City State Zip Code Country

Do you have a different mailing address*

Yes

Mailing Address*

Street Address Address Line 2 City State Zip Code Country

Business Phone Number*

Supplier Contact First Name*

Supplier Contact Last Name*

Supplier Contact Position*

Supplier Contact Phone Number*

Supplier Contact Mobile Number*

Supplier Contact E-mail*

Accounts Receivable Contact First Name*

Accounts Receivable Contact Last Name*

Accounts Receivable Contact Phone Number*

Accounts Receivable Contact E-mail*

Purchase Order Contact E-mail*

Market Segment*

Please select appropriate segment

Bank Account Details

Bank*

Branch*

Account Name*

BSB # (6 digits)*

Bank Account #*

Please provide a copy of a recent bank statement (remove dollar amounts from statement) or a bank deposit slip which includes the bank account details*

Max. file size: 25 MB.

Please note our payment terms are 30 days from End of Month

To the extent VenuesLive collects or handles Personal Information in this request for information, VenuesLive agrees it will comply with: (a) all applicable laws relating to privacy and the processing of Personal Information, including without limitation the Privacy Act; and (b) VenuesLive’s privacy policy as amended from time to time and as available here.

Supplier Form – Central Coast

Supplier Form – Central Coast

Bank Account Details

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