Partners Partner Referrals Partner InformationParnership Information Smash Repairer Tow Truck Operator Business Name*ABN*GST Registered?*YesNoAddress* Street Address Suburb State Post Code Contact Name* First Last Contact Number*Email* Partner Reward PaymentsCarbiz 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*EFTGift CardBanking Details* Name of Bank Account Name BSB Account Number Gift Card Reward*New Gift CardExisting Gift CardExisting Card NumberPartner Acceptance & AuthorisationBy 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/Consent* 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* First Last Signature*Date Date Format: MM slash DD slash YYYY Carbiz Representative First Last FPND Pty Ltd T/As Carbiz Rentals
