New Vendor Form

Please ensure all Tax Invoices and Statements are emailed to accountspayable@gvwater.vic.gov.au.

If you have any queries please contact Accounts Payable on 03 5832 4830.

Entity Name*

Trading Name*

Company ABN*

Street Address

Address Line 1

City

Postcode

Postal Address*

Address Line 1

City

Postcode

Phone*

Email for Remittance Advice to be sent*

Email for Purchase Orders to be sent

Goulburn Valley Water Contact - this is the person who works at GVW and asked you to complete the form*

First Name

Last Name

Bank Account Details

Bank Name*

BSB Number*

Account Number*

Account Name*

Authorised Signature

Use your mouse or finger to draw your signature above

Name*

First Name

Last Name

Position Title*

Date/Time*