IPP MEMBERSHIP FORM

IPP Membership entitles you to FREE access of the IPP Platform to purchase from the IPP Preferred Suppliers. There is no sign-up fee or ongoing charge associated with this program. Benefits to IPP Members are provided by the IPP Preferred Suppliers.

Trading Name	e.g. ABC News and Casket
ABN	ABN.
Business Address	Address your business is located at.
Suburb	Suburb	State	State.
Post Code	Post Code.	Business Phone Number	Business Phone Number.

Full Business Name	e.g. IPP Australia Pty Ltd trading as ABC News

Please list Full Name and Home address and date of birth of all Directors/Owners

Director 1	Full Name.	Home Address, including State & Postcode.
Email Address	Date of Birth.
Director 2	Full Name.	Home Address, including State & Postcode.
Email Address	Date of Birth.
Director 3	Full Name.	Home Address, including State & Postcode
Email Address	Date of Birth.
Director 4	Full Name.	Home Address, including State & Postcode.
Email Address	Date of Birth.

Other than the Directors listed above is there any other owners of the business who own 25% or more of the business?	Yes	☐	No	☐

If you have ticked yes please list full name of each below.

Additional Owner 1	Additional Owner, if applicable.
Additional Owner 2	Additional Owner, if applicable.

Is your business entity a partnership? Yes ☐ No ☐ Do you have a partnership agreement Yes ☐ No ☐

Is your ABN related to a Trust?	Yes	☐	No	☐

If applicable please include:

Full Name of Trust Full Name of Trust, if applicable. ACN Number of Trustee ACN Number, if applicable

Please insert credit limit required.

(It is recommended you use an initial credit limit of $25,000 to begin with, once you commence trading you can increase limit should you need to. Any initial amount over $25,000 will require copies of current financial documents).

Insert Credit Limit	e.g. $25,000

Once you have completed this form please save it to your computer and forward it to Moneytech.

A Moneytech Credit Application Form will be populated using this information and emailed to you for signing and return to their office. Once received and checked you will be sent a welcome letter, a token to access Moneytech website and an IPP Members Manual. If you would like FREE ACCESS to BPay. Please indicate here Yes ☐ or No ☐ Send it either via: Email:	lorna.gomes@moneytech.com.au Fax:	(02) 8907 2599 Post:	Reply Paid Lorna Gomes	Moneytech Limited	P.O. Box 2015	North Sydney, NSW 2059

If you have any questions with regard to IPP Australia or this membership form please call Ann Nugent on 0488 763 236