1) If you are GST registered (Reward will be transferred to your nominated bank account)
Company Name
ABN/BRN
Trading Name
2) If you are NOT GST registered (Reward will be given with voucher)
Personal Name
Password
Postal Address  
Suburb State Postcode
Phone Fax Mobile
Email

BSB Number Account Number
Account Holder Name

By completing and submitting this Application Form, you hereby acknowledge and agree that you have read and considered the Referrer Agreement (Agreement) and agree to be bound by all the terms and Conditions set out therein. The Agreement is a legal agreement between you, a single legal entity identified in the information in this application and E Funding pty Ltd (ABN: 61 145 999 828), trading as iinvoice ("iinvoice"). You acknowledge and agree that iinvoice may or may not, in its discretion, accept this Application and such acceptance is not established until iinvoice has acknowledged this application form. If you do not agree to the terms of the Agreements, you are not granted any rights whatsoever in the Agreement. By clicking "I have read and agree to the Terms of the Agreement" you indicate that you have read and understood and assent to be bound by the terms of the Agreement. If you are not willing to be bound by these terms and conditions, you should not click on the "I have read and agree to the Agreement" button.

I have read and agree to the Terms of the Agreement.
ABN: 61 145 999 828 | Suite 603 Strathfield Plaza 11 The Boulevarde Strathfield, NSW 2135 | Phone : 1300 686 423 | FAX: 1300 931 686
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