Central Buying Group

STEP 1 : Central Buying Group Subscription

Annual subscription ($249 + GST) Process below via Credit Card. If no Credit Card, contact us on 1300 992 442

$273.90

Prefix

First Name

Surname

Work Phone

Mobile Phone

Email Address

Send correspondence to this address

Primary Address

This is your mailing address. Print mail is sent to this address.

Addresses

Address 2

Suburb / Town

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Outlet ID No. (WCC where applicable)

Store Name

ABN

Type of business

Bank BSB (For any credits)

Bank Account Number (For any credits)

Yes

Referrer Work Centre Number

Fees Due

Membership Fee:	$273.90 (inc GST)

Discount Code

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