APPLICATION FOR COMMERCIAL CREDIT
LEVEL 2 INDUSTRY PARTNER PROGRAM
Expression of Interest Form
|Please complete the following form and forward to admin@.au |
|Our Management team will then review the information provided and advise your company whether the goods or service outlined in this application meet a need |
|expressed by councils in the selected areas. |
|You will then be invited to submit further documentation to complete the application process. |
Registered Business Name:
Trading Name (if applic):
ABN: Type of Business:
Years of Trading: Date of Incorporation (if applic):
Business Address:
Full name of contact person:
Phone: Email:
Summary of relevant goods or services for participating councils:
Tick the region/s below in which your company would be able to provide the above goods/ service.
|NSW Regions |Tick |Includes the following Local Government areas |
|Hunter |( |Newcastle City, Maitland City, Cessnock City, Dungog Shire, Singleton, Muswellbrook Shire, Upper Hunter Shire, |
| | |Mid-Western Regional (Mudgee), Port Stephens, Lake Macquarie City |
|Mid-North Coast |( |Mid-Coast Council, Port Macquarie-Hastings, Kempsey Shire, Bellingen Shire, Nambucca Shire, Coffs Harbour City and |
| | |MidCoast Water |
|New England |( |Armidale Regional and Walcha Shire |
|Namoi |( |Liverpool Plains Shire, Gunnedah Shire and Tamworth Regional |
|North Coast |( |Clarence Valley and Richmond Valley |
Thank you for your interest in the Regional Procurement Level 2 Industry Partner Program
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