Vendor Account Application
Please complete this form as part of your vendor on-boarding process
1
Business Information
2
Account Administration
3
Consent
Business Information
Step
1
/
3
Registered Business/Entity Name
*
Trading Name (if different)
Business Commencement Date
*
Number of Employees
*
Business Structure
*
Company
Partnership
Government Department
Sole Trader
Not-For-Profit
Other
Industry Segment
*
Arts
Agriculture
Construction
Education
Energy
Finance
Government
Health Care
Hospitality
First Name
*
Last Name
*
Email Address
*
Phone Number
*
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Please enter an mail address where we will send the contract for acceptance
*
Authorized Person's Full Name
*
I am authorised by the business to make this application, and the information contained in this application is true and correct
*
Agree
Previous Step
Next Step
Submit
Submitted successfully!
Your submission has been received. Thanks for your time!
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{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeOptionName}
{AttributeName}
{AttributeOptionName}
{AttributeName}
{AttributeOptionName}
{AttributeName}
{AttributeOptionName}
{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeValue} star
{AttributeName}
{AttributeValue}
Order products
{ProductImage}
{ProductTitle}
{Variants}
Order Total
(The sum of all the prices of all the items in the order, taxes and discounts included.)
{DraftOrderTotal}
Contact information
{Email}
{Phone}
Shipping address
{FirstName} {LastName} {Address1} {Address2} {City} {Country} {Prince} {PostalCode}
Billing address
{billingAddress-FirstName} {billingAddress-LastName} {billingAddress-Address1} {billingAddress-Address2} {billingAddress-City} {billingAddress-Country} {billingAddress-Prince} {billingAddress-PostalCode}
{AttributeName}
{AttributeValue}
{AttributeName}
{FirstName} {LastName} {Company} {Address1} {Address2} {City} {Prince} {Country} {PostalCode}
{AttributeName}
{AttributeValue}
{AttributeName}
{AttributeValue}
{VariantTitle}
{VariantPrice}
{VariantAmount}
