CRM TESTING - Supplier Application Form
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" indicates required fields
Supplier Criteria
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I acknowledge the above and commit to offering competitive pricing and ensuring the highest quality of products and services.
Your Details
First Name
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Last Name
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Job Title
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Phone
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Email
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Company Details
Full Company Name
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Trading As
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Site Location
Address
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Street Address
Suburb
State
Postcode
Opening Days & Hours
Monday - Friday
Open
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Hours
:
Minutes
AM
PM
AM/PM
Close
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Hours
:
Minutes
AM
PM
AM/PM
Saturday
Open
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Hours
:
Minutes
AM
PM
AM/PM
Close
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Hours
:
Minutes
AM
PM
AM/PM
Operation
Can you provide cartage rates for deliveries?
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Yes
No
Please attach cartage rates
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Max. file size: 100 MB.
Do you have weighbridges/loaders with scales operating on site?
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Yes
No - we don’t have a weighbridge or scales, we sell per m3 only.
How many?
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Are your loader operators available constantly through opening hours indicated above?
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Yes
No
Please advise what time period they are not available
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Hidden
Start Time
Hours
:
Minutes
AM
PM
AM/PM
Hidden
End Time
Hours
:
Minutes
AM
PM
AM/PM
Is there sufficient access for Quad Dogs?
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Yes
No
is there sufficient access for truck & trailers?
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Yes
No
Accounts Payable Details
Trading Name
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ABN
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Address
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Street Address
Suburb
State
Postcode
Bank Payment Details
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BPAY
EFT
Biller Code
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Reference Number
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Account Name
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BSB
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Account Number
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Accounts Contact Email
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Contact Phone Number
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Please note the following:
We run our accounts payable pay runs at
45 days.
Invoices are to be emailed
weekly
to admin@lofts.com.au
We require a
strict minimum of 30 days’ notice
for all price increases.
I understand and agree to the above terms
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I understand and agree to the above terms
Contact Details
Please advise who we can call for the following (where applicable):
Product Availability
I am the best contact - Product Availability
I am the best contact
First Name
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Last Name
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Job Title
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Phone Number
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Email
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Product Queries
I am the best contact - Product Queries
I am the best contact
First Name
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Last Name
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Job Title
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Phone Number
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Email
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Analysis Reports
I am the best contact - Analysis Reports
I am the best contact
First Name
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Last Name
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Job Title
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Phone Number
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Email
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Booking Deliveries
I am the best contact - Booking Deliveries
I am the best contact
First Name
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Last Name
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Job Title
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Phone Number
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Email
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Material
Price List
Please attach your price list with the following product information:
Material name (as termed on dockets/invoices)
Price per tonne/m3
Quantity of stock available
Product description (i.e. size, colour, rock type, product blend, fines/no fines)
Product applications
Upload (can attach multiple documents)
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Drop files here or
Select files
Max. file size: 10 MB.
Test results, accreditations & certifications
Please attach any recent test results, accreditations or certificates (e.g. Green Star, VicRoads, WSA, Material Safety Data Sheet, Clean Fill Certificate)
Upload (can attach multiple documents)
Drop files here or
Select files
Max. file size: 20 MB.
Do you have Wet Mix available?
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Yes
No
How is it your Wet Mix made?
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Pugmill
Manually
Is Wet Mix the same price as dry?
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Yes
No
How much more per tonne? (ex GST)
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Do you have Cement Treated available?
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Yes
No
How much do you charge per %? (ex GST)
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Do you have a minimum order?
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Yes
No
What is your minimum order? (in tonnes)
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Which products do you offer with cement?
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Additional Comments
Please let us know if there is anything further, we need to know.