Partner Referrals

Partner Information

Parnership Information

Smash Repairer

Tow Truck Operator

Business Name(Required)

ABN(Required)

GST Registered?(Required)

Yes

Address(Required)

Contact Name(Required)

Contact Number(Required)

Email(Required)

Partner Reward Payments

Carbiz Rentals will issue a recipient-created tax invoice for the payments made under this Agreement.

Please select how you would like Referral Rewards to be paid(Required)

EFT

Gift Card

Banking Details(Required)

Name of Bank Account Name BSB Account Number

Gift Card Reward(Required)

New Gift Card

Existing Gift Card

Existing Card Number

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(Required)

By ticking this box I confirm as follows:

I confirm I am authorised to receive partnership reward payments for this business.
I have read, understand and agree to the Carbiz Partnership Program Terms & Conditions.

Authorised Name(Required)

Signature(Required)

Hidden

Date

Carbiz Representative

Hidden

FPND Pty Ltd T/As Carbiz Rentals

Name

This field is for validation purposes and should be left unchanged.