Supplier Accreditation RequestName of the Finance@work contact person.(Required)Entity Type(Required)CompanyTrustPartnershipSole TraderBusiness Entity Name*(Required)Trading NameABN*(Required)ACN - if you are a Company you must include your ACNIndustry Type(Required)Trading Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Main Contact Person Name:(Required)Mobile:(Required)Email(Required) Main Contact Person Phone:Main Contact Person Fax:Banking Details - BSB(Required)Banking Details - Account Number(Required)Email address for payment confirmations (for example accounts receivable)How long have you been operating this business? Include Years and Months.(Required)Include a history of the business below:(Required)Do you currently offer finance?(Required)YesNoAverage volume ($) financed per month?Type of equipment financed?Number of transactions financed in the past 12 months?How many offices does this business have?(Required)What is the total number of employees?(Required)Bank Statement (dated within 90 days) or Deposit Slip(Required)Max. file size: 256 MB.The uploaded document MUST show bank logo, bank account name, BSB and Account Number and be dated within 90 days.Upload an example Tax Invoice(Required)Max. file size: 256 MB.
