Client Trading Details                                                                                                                                

Account Code:

Name:   _________________________________________________________________________

Trading as: _____________________________________________________________________

ABN: ______________________________________                       GST Registered:  Yes  /  No*

*If you do not hold an ABN, i.e. NOT GST registered, you are required by the ATO to complete & return to MHL & P a

 “Statement by Supplier” form. MHL & P are able to provide you with this form. Failure to do so requires tax withheld of 46.5%.       


Postal Address: _________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Phone: _______________________________  Fax: ____________________________________

Mobile: ______________________________   Email: __________________________________

 PIC No: _______________________________


Do you require transit insurance?                                                           Yes /  No

Preferred method to receive account sales/invoices:                              Post / Fax / Email

Preferred method of payment:                                                                Cheque  /  EFT

*Please note proceeds are paid 10 days from date of sale .

Bank details: (if payment is to be made by EFT)

Account Name: __________________________________________________________________

Bank: ___________________________________ Branch: _______________________________

BSB: ___________________________________ A/C No:______________________________

 


 __________________________________                                  _________________________

                  Client Signature                                                                              Date