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

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download