Partner Referrals

Business Details

Business Name

ABN

Registered for GST?

Yes
No

Business Address

Street Address

Street Address Line 2

City

State

Postcode

Contact Details

First Name

Last Name

Email Address

Phone Number

Partner Reward Payments

How would you like to receive payments?

EFT
Gift Card

Banking Details

Partner Acceptance & Authorisation

By providing your details, you consent to us contacting you about our products and services. Carbiz’s Privacy Policy contains information about how you can access and correct your personal information, how to make a complaint, and how we deal with complaints and can be found at www.carbiz.com.au/privacy-policy

Carbiz Rentals may complete any or all of the following information if omitted by the Partner:

Date of this agreement;
Carbiz Representative;
Vehicle Repair Declaration

Consent

I confirm that I am authorised to receive partnership reward payments for this business.

I have read, understood, and agree to the Carbiz Partnership Program Terms & Conditions.

Authorised Name

Authorised First Name

Authorised Last Name

Signature

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