New Client Details

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Company Name*

ABN*

Please select one*

GST Registered

Not GST Registered

Hobby Farmer

Trading Name

Property Name (if applicable)

Postal Address*

Town

Contact Person (livestock)*

Phone*

Email*

P.I.C*

Accounts Contact Name

Accounts Email (if different to above)

Accounts Phone (if different to above)

Bank details for payment of livestock:*

Kellco Agent

One our staff will be in contact with you shortly to confirm your bank details over the phone.

Kellco Rural Agencies may issue Account Sales (RCTI), on my behalf, in respect of supplies made by me, where appropriate
I shall not issue Tax Invoices in respect to supplies made by me where Kellco Rural Agencies has produced an Account Sale on my behalf.
I acknowledge that the information contained in this form is true and correct and ackowledge that I will notify Kellco Rural Agencies of any changes to my status