AU WS Account Application Form

Thank you for your interest to become an approved retail partner of SafeStyle Holdings Pty Ltd. Please complete all sections of this form. Where not applicable please note N/A. Once approved for onboarding, you will receive an online Creditor Watch/Apply-Easy Application link from sales@safestyle.com.au.

Thank you — your application has been received. Our team will review it and be in touch shortly.

Business Information

Business Structure

TrustYour company structure involves a trust in any way Sole Trader Partnership Company

Trust Name

To be specified ...

Trust ABN

Trustee Name

Company Name

Trading / Door Name

Company ABN

Company ACN (optional)

Trustee ACN (optional)

ABN

First Name

Middle Name (optional)

Last Name

Date of Birth

Partners

Store Information

Franchise Group (if applicable)

Store Number

Contact Name

Position/Title

Email Address to receive Creditor Watch Application

Telephone Number

Accounts Payable

Accounts Email - Invoices (one or more)

Accounts Email - Statements (one only)

Store Operating Details

Store Delivery Address

Store Email – SafeStyle EDM's (new product, store updates)

Store Email - SafeStyle Portal Access

Store Email – Sales Order Confirmations (one only)

Store Email – Shipping Confirmations (one only)

Other PPE Eyewear brands currently stocked

AU WS Account Application Form

Business Information

Store Information

Accounts Payable

Store Operating Details

About Safestyle

The Styles

Customer Care

Your Privacy Choices