Expression of Interest
Please provide all required details to register your interest as a supplier for the delivery of works for MITS.
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Date
*
-
Month
-
Day
Year
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Supplier Information
Legal Entity Name:
*
Trading Name if different to Legal Entity Name:
*
Website:
ABN
*
Format: 00-000-000-000.
ACN
Format: 000-000-000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (00) 0000-0000.
Industry & Capability Details
Please provide all required details so we can determine the contribution you are looking to provide.
Business Type
*
Subcontractor
Consultant
Supplier
Service Provider
Other
Primary Trade
*
Brief Description of Services / Capabilities
*
Commitment & Alignment
Why would your organisation like to be involved in future MITS projects? (short paragraph)
*
Do you experience working on education or community projects?
Please Select
Yes
No
Supporting Information
Upload Capability Statement or Brochure (optional file upload)
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Declaration
Name
*
First Name
Last Name
Date
*
-
Month
-
Day
Year
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