Service Partner Enquiry

service partner

Enquiry Form

ORGANISTAION DETAILS

Date *

Organisation Name *

ABN *

Orginisation Address *

Country

City

State

Zip code

Organisation Email *

Proposed Garage Address if the Vehicle is Kept On-Site

Country

City

State

Zip code

MAIN CONTACT DETAILS

First Name (main contact) *

this must be a manager of the organisation

Surname (main contact) *

Mobile (main contact) *

Email (main contact) *

SECONDARY CONTACT DETAILS

First Name (secondary contact) *

Surname (secondary contact) *

Mobile (secondary contact) *

I.D | CHECKS & POLICY

All MAIN CONTACTS are considered as drivers, therefore a copy of your Drivers Licence is compulsory. We also require a letter from the organisation acknowledging that management agree for you to be listed as the MAIN DRIVER. *

(Please upload your drivers licence and letter below)

Drivers Licence (D/L) FRONT

Drivers Licence (D/L) BACK

Acknowledgment from Management

(D/L) FRONT *

(D/L) BACK *

Acknowledgment Letter *

All our partners are required to have: PUBLIC LIABILITY & VOLUNTEERS INSURANCE *

(Please upload a copy of your certificates below)

Insurance (public liability)

Insurance (volunteers)

Insurance (public liability) *

Insurance (volunteers) *

COMMENTS

Confidentiality Agreement

To protect the individuals and programs of One Voice from unauthorised dispersal of information, I hereby undertake to treat any information received as strictly confidential.

Digital Signature

I understand that completion of this form does not guarantee a service partner position with One Voice, this will be reviewed and you will be notified. I agree that the information provided is true and correct.

Please print your Full Name: *

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