Dux Agency | Property Strategy & Creative Specialists

Dux Agency – New Supplier Form

Upon completion of this form we will contact you to request proof of bank details via a deposit slip or cheque sample or redacted bank statement.

Dux Agency Pty Ltd preferred method of payment is by Electric Fund Transfer (EFT).

Please issue an invoice with the PO number AFTER the scheduled date and completion of the work.

Payment will be made in the month following the scheduled date of the PO.

For any queries regarding this form, please contact us at accounts@duxagency.com.au or lauren@duxagency.com.au.

Legal Entity Name (Required)

Main trading name (Required)

ABN (Required)

Address Line 1 (Required)

Address Line 2

City (Required)

Postcode (Required)

State (Required)

Country

Business Website

Contact Details

Primary Contact – First Name (Required)

Primary Contact – Last Name (Required)

Position

Primary Contact Email (Required)

Phone (Required)

What services are being provided?

Services (Required)

Photography Video Signage Auctioneer services Brochure Printing Creative Design Print Media Digital Media Other

Banking Details

Bank Account Name (Required)

BSB (Required)

Bank Account Number (Required)

Please upload proof of your banking documents

I have read and agree to terms and conditions outlined at the top of this form.

For more information on Dux, or to discuss your upcoming marketing, reach us here.

T. 03 9645 5400