Receive a full Biller Application Kit

If you are interested in using Bill Buddy, please complete the quick pre application questionnaire to give us a brief idea on your business and the products you would like to use and one of our business development managers will be in touch.

Questionnaire

A – ORGANISATION DETAILS:
this field exceeds the max length allowed
this field is required {{ label.checkPhone }}
{{ label.checkFax }}
this field is required {{ label.checkEmail }} this field exceeds the max length allowed
this field is required this field exceeds the max length allowed
this field is required {{ label.checkPostcode }} Please put your postcode here and select a suburb next.
this field is required
Contact Person
this field is required this field exceeds the max length allowed
this field is required {{ label.checkContactPhone }}
this field is required {{ label.checkContactEmail }} this field exceeds the max length allowed
Contact Person 2
this field is required this field exceeds the max length allowed
this field is required {{ label.checkContactPhone2 }}
this field is required {{ label.checkContactEmail2 }} this field exceeds the max length allowed
B – ORGANISATION PROFILE:
Proposed Bill Buddy Services *
Please at least select one service.
this field is required this field exceeds the max length allowed
this field is required this field exceeds the max length allowed {{ label.checkAvg }}
this field is required this field exceeds the max length allowed {{ label.checkMax }}
this field is required this field exceeds the max length allowed {{ label.checkTNo }}
this field is required {{ label.checkPassword }} this field exceeds the max length allowed
C – DIRECTOR/PROPRIETOR PROFILE:
Number of Directors/Proprietors *
Director 1 / Proprietor 1
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorDOB1 }}
this field is required {{ label.checkDirectorPhone1 }}
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorPostcode1 }} Please put your postcode here and select a suburb next.
this field is required
this field is required {{ label.checkDirectorMedicare1 }}
this field is required {{ label.checkDirectorMedicareRef1 }}
this field is required {{ label.checkDirectorMedicareExpiry1 }}
this field is required {{ label.checkDirectorLicence1 }}
this field is required

Director 2 / Proprietor 2
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorDOB2 }}
this field is required {{ label.checkDirectorPhone2 }}
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorPostcode2 }} Please put your postcode here and select a suburb next.
this field is required
this field is required {{ label.checkDirectorMedicare2 }}
this field is required {{ label.checkDirectorMedicareRef2 }}
this field is required {{ label.checkDirectorMedicareExpiry2 }}
this field is required {{ label.checkDirectorLicence2 }}
this field is required

Director 3 / Proprietor 3
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorDOB3 }}
this field is required {{ label.checkDirectorPhone3 }}
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorPostcode3 }} Please put your postcode here and select a suburb next.
this field is required
this field is required {{ label.checkDirectorMedicare3 }}
this field is required {{ label.checkDirectorMedicareRef3 }}
this field is required {{ label.checkDirectorMedicareExpiry3 }}
this field is required {{ label.checkDirectorLicence3 }}
this field is required

Director 4 / Proprietor 4
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorDOB4 }}
this field is required {{ label.checkDirectorPhone4 }}
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorPostcode4 }} Please put your postcode here and select a suburb next.
this field is required
this field is required {{ label.checkDirectorMedicare4 }}
this field is required {{ label.checkDirectorMedicareRef4 }}
this field is required {{ label.checkDirectorMedicareExpiry4 }}
this field is required {{ label.checkDirectorLicence4 }}
this field is required

Director 5 / Proprietor 5
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorDOB5 }}
this field is required {{ label.checkDirectorPhone5 }}
this field is required this field exceeds the max length allowed
this field is required {{ label.checkDirectorPostcode5 }} Please put your postcode here and select a suburb next.
this field is required
this field is required {{ label.checkDirectorMedicare5 }}
this field is required {{ label.checkDirectorMedicareRef5 }}
this field is required {{ label.checkDirectorMedicareExpiry5 }}
this field is required {{ label.checkDirectorLicence5 }}
this field is required
D – YOUR NOMINATED ACCOUNT FOR FUNDS SETTLEMENT:
this field is required {{ label.checkBSB }}
this field is required this field exceeds the max length allowed
this field is required {{ label.checkAccountNumber }}
CAPTCHA *