Please read the Code of Conduct Letter, Contractor Code of Conduct and Standard Terms and Conditions prior to submitting.

Name *

Email Address *

Supplier Details

Trading Name

Company Name

ABN Number

Registered for GST

YesNo

Supplier classification/industry

Postal Address

Post Code

Who is your contact at Hornsby Council?

Accounts Receivable Contact

Accounts Receivable Phone Number

Email Address for the receipt of remittance advices, please supply a generic email address:

Sales Contact

Sales Phone Number

Email Address for the receipt of purchase orders, please supply a generic email address

Name of Bank

Branch

Name(s) in which Account is held

BSB Number

Account Number

Note: Council’s policy for the payment of invoices is 30 days from Invoice Date – or as per Conditions of Contract.

By signing this form, I acknowledge that I agree to abide by Council’s Code of Conduct.

Signature *

Draw signature|Type signatureClear

(a) A company, by an authorised signatory (b) A partnership, by a partner (c) A trust, by the trustee

Date *

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