Business Client Registration Contact DetailsApplicant's Name First Last Email* Mobile phone* Home phone Work phone How did you hear about us? Residential AddressStreet address* Suburb* State*ACTNSWNTQLDSATASVICWAPostcode* My postal address is the same Postal AddressAddress* Suburb* State*ACTNSWNTQLDSATASVICWAPostcode* Business DetailsMain Entity Name* ABN* Tax File Number* the contact The contact details for this entity match the contact details of the applicant Entity Type Company Trust Super Fund Partnership Other If other, please specify PhoneEmail Address Street Address City State / Province / Region ZIP / Postal Code I have a 2nd Entity Entity DetailsEntity Name* ABN Tax File Number the contact 2 The contact details for this entity match the contact details of the applicant Entity Type Company Trust Super Fund Partnership Other If other, please specify PhoneEmail Address Street Address City State / Province / Region ZIP / Postal Code I have a 3rd Entity Entity DetailsEntity Name* ABN Tax File Number the contact3 The contact details for this entity match the contact details of the applicant Entity Type Company Trust Super Fund Partnership Other If other, please specify PhoneEmail Address Street Address City State / Province / Region ZIP / Postal Code Details of Directors/BeneficiariesPlease give details of Directors/BeneficiariesDirector/Beneficiary First Name Last Name Position Director/Beneficiary First Name Last Name Position Director/Beneficiary First Name Last Name Position Director/Beneficiary First Name Last Name Position CommentsIs there anyone else that you would like to add as a contact? eg. PA, Bookkeeper, Accounts team.Please provide details belowPrevious AccountantIt is standard practice for an accountant to write to an outgoing accountant to advise of their appointment.Does the client have an accountant? Yes No Please provide the details of the client's previous accountant: Firm Name Email Address Phone I consent Hannans + Associates to contact my previous accountant to request my accounting/tax documentsClient AcknowledgementsBy submitting this form, you agree to the following: I wish to appoint Hannans + Associates to be accountants and tax agents for the individuals and entities specified in the client registration form. I have the written or verbal consent of all individuals and entities specified in the client registration form I consent to confidential information being emailed to the email address I have nominated I wish to appoint Hannans + Associates as BAS Lodgement Agents for the individuals and entities specified in the client registration form. EmailThis field is for validation purposes and should be left unchanged.