Customer Company Details

Please complete this form to enable BACS to set up your company as a customer.

Full Company Details

Company Name (Legal Entity)* - required

Trading Name

Preferred Name

Legal Entity

Trading Name

Full Street Address* - required

Suburb* - required

State* - required

Select a State.. ACT QLD NSW NT SA TAS VIC WA

Post Code* - required

Invoicing Information

Company Name* - required

Invoice Receiver Name* - required

Full Street Address* - required

Suburb* - required

State* - required

Select a State.. ACT QLD NSW NT SA TAS VIC WA

Post Code* - required

PO Box (if applicable)

Suburb

State

Select a State.. ACT QLD NSW NT SA TAS VIC WA

Post Code

Invoice Receiver Contact Number* - required

Invoice Receiver Email Address* - required

Accounts Payable Information

Accounts Contact Number* - required

Accounts Email Address* - required

Purchase/Work Order Information

Is Purchase/Work Order Required* - required

Yes

No

All Purchase/Work orders are to be sent to orders@bacs.com.au. Orders must be received before services can be performed.

I accept responsibility for all the details on this form.

Name* - required

Contact Number* - required