Supplier Accreditation Application

Supplier Information

Legal Entity (The name that appears on your tax invoice / matches your ABN number)

Trading Name

ABN

GST Registered?

Yes No

Date Established

Level

Apt/Unit No.

Street No.

Street Name

Suburb

State

Post Code

Email Address

Phone No.

Website

Administration Contact Details

(The person who will issue the tax invoices)

First Name

Last Name

Phone

Is the Director the same details as above?

Director Details

First Name

Last Name

Phone

Goods/Services Provided (to be financed)

Brand

Description

Brand

Description

Brand

Description

Brand

Description

Brand

Description

Online Portal & Notification Preferences

Equipment Leasing Group has a specialised web based portal that shows all of your clients applications as well as provides instant status updates along the way. Please provide the details of the people from your organisation that would like access and updates as the applications move through the finance process. We offer training to anyone that would like to know more or utilise the portal in more detail. Alternatively you can opt not to use the portal and receive the automatic updates only.

1. First Name

Last Name

Mobile

Role

2. First Name

Last Name

Mobile

Role

3. First Name

Last Name

Mobile

Role

Please tick if more users are required.

Supporting Documents

Please upload the following with your application.

1. Proforma Tax invoice

2. Copy of Bank Deposit slip or blacked out bank statement showing account details only (BSB, Acc No & Acc Name)

3. High Resolution Format of Your Logo

4.. Front of Drivers Licence (Director)

5. Back of Drivers Licence (Director)

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