Collaborate

Personal Info

Position*

First Name*

Last Name*

Address*

Select Country*

Email*

Mobile*

Car Rego*

Upload Drivers License (Front)*

Upload Drivers License (Back)*

Company Info

ABN*

Company Name*

Company Address (if different from above)

Banking Info

Account Name*

Account Number*

BSB Number*

I hereby affirm and declare that all information and documents provided are accurate, authentic, and complete to the best of my knowledge. This affirmation is made under the perusal and compliance with the applicable laws and regulations of Australia and New Zealand. I fully understand and accept that any false, incorrect, or misleading information may lead to legal consequences under the jurisdictions of both nations. By this declaration, I willingly bind myself to the verity of the submitted documents in accordance with the legislative principles in force within Australia and New Zealand.

With this affirmation, I aim to provide the utmost satisfaction to the clients, the optical shop owners, by delivering exceptional services that meet their needs and exceed their expectations. I recognize the importance of upholding professional standards and will strive to maintain a strong adherence to the guidelines and terms established by Asia Contacts I Pty Ltd to my clients that carry these brands.

Please leave this field empty.