Supplier Form Home » Supplier FormDate: 15/02/2022 Supplier Form PLEASE EMAIL ALL INVOICES/STATEMENTS TO: accounts@arthritiswa.org.au Business Name:* Business Type:*CompanySole TraderOtherIf you selected 'Other' please specify ABN:* Are you registered for GST?*YesNoInsurance CoverAre you an employer?*YesNoDo you have Workers Compensation Insurance?*YesNoIf yes, please upload a Certificate of Currency.Max. file size: 16 MB.Do you have Public Liability Insurance?*YesNoIf yes, please upload a Certificate of Currency.Max. file size: 16 MB.Do you have Professional Indemnity Insurance?*YesNoIf yes, please upload a Certificate of Currency.Max. file size: 16 MB.Contact DetailsName* First Surname Address* Street Address Suburb State Postcode Email* Phone: Mobile: Payment DetailsBank Name:* BSB Number:* Account Name:* Account Number:* Terms:*14 Days30 Days (eom)OtherIf you selected 'Other" please specify: PLEASE EMAIL ALL INVOICES/STATEMENTS TO: accounts@arthritiswa.org.au