New Customer

Company *

Address *

Head Office Phone *

Accounts Email *

Accounts Contact Name *

First

Last

Accounts Phone *

Credit terms requested

LASTS standard credit terms are 14 days from date of invoice.

Do you use the PEPPOL network / E-Invoicing?

Invoice / vendor management instructions

Send PDF instructions to accounts@lasts.com.au. All invoices are sent in PDF format

Operations Contact #1 *

Office Location: Office Phone: Office Email: Emergency / After Hours Phone: Main Contact Name: Main Contact Email: Main Contact Mobile Phone:

Operations Contact #2

Office Location: Office Phone: Office Email: Emergency / After Hours Phone: Main Contact Name: Main Contact Email: Main Contact Mobile Phone:

Operations Contact #3

Office Location: Office Phone: Office Email: Emergency / After Hours Phone: Main Contact Name: Main Contact Email: Main Contact Mobile Phone:

Emails to receive newsletter operational updates *

I agree to the LASTS Terms And Conditions Of Service & Schedule Of Rates And Charges *