Supplier Registration Form (FOR CURRENTLY ENGAGED CONTRACTORS OR SUPPLIERS)

**THIS FORM IS NOT USED TO REGISTER YOUR INTEREST IN BECOMING A CONTRACTOR OR SUPPLIER**

Name of Council Staff Member that has requested you complete this form?(Required)

Supplier Information

TPAR Reportable (Taxable Payments Annual Report):
Address

Contact Information

Contact Person(Required)

EFT Payment Details

For Remittance Advice

Terms & Conditions

Consent(Required)
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For Office Use Only

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