Request for change of Ownership / Company Name

Customer No.*
Existing/Previous Legal Company Name*
Existing/Previous Trading Name (if applicable)
New Legal Company Name*
New Trading Name (if applicable)
New ABR No
Billing address*
Physical Address (if not the same as Billing address)
Email Address*
Contact No*
Name of person authorised to conduct these changes: *
Position of Authorised Signatory *
Will there be a change of ownership in relation to the company name change?
Date for change to be effective:

Privacy Policy

I have read and accept the Privacy Policy and I am authorised to make this commitment on behalf of my organisation.*