Form

Thank you for applying for a trading account with Telbix Australia.

Our trading accounts are only available for businesses who are interested in distributing Telbix products.

This online application form will enable us to process your application as quickly as possible.

To complete your application, we will ask for the following information to be provided:

Applicant contact details,
Business details, including ABN and/or ACN,
Business account payable team details, and
The name and contact details for three business references.

About the applicant

Applicant first name*

Applicant last name*

Applicant email address*

Applicant phone number*

Business details

Business name*

ABN/ACN*

Business email address*

Business phone number*

Registered address*

Date business established

Day/Month/Year

Accounts team contact name*

Accounts team email Address*

Are you applying for a Wholesale Account or a Trade Account?

Wholesale Account

Trade Account

Wholesale Account
A minimum spend of $5,000 applies to your initial order.
A minimum spend of $500 applies to any additional orders.
You must continue to spend a minimum of $10,000 every six months to keep your wholesale account active.
A member of the Telbix team will contact you to further review your application.

Trade Account
A member of the Telbix team will contact you to further review your application.

Briefly describe your business*

Business references

Please list three separate business references to support your application. We will contact your three references during assessment. The references must be registered organisations in Australia. If you do not supply accurate references, your application will be declined.

Business Reference Name 1*

Reference Email Address 1*

Business Reference Name 2*

Reference Email Address 2*

Business Reference Name 3*

Reference Email Address 3*

References Declaration

The applicant requests the above named Company/Firm (the Seller) to begin the process of opening an account. The Applicant to this application further acknowledges that the information provided in this appilcation is true and correct and has been relied upon by the Seller to determine whether to grant the Applicant credit.

I agree to the above declaration*

By submitting this form, you agree to Telbix using the contact information you provide to us to contact you about products and services. You can unsubscribe from these emails at any time.