"*" indicates required fields Collection Notice The information we are collecting is necessary to for the purpose of dealing with or responding to this request, and to process and pay your invoices. Your personal information has been collected in accordance with the Information Privacy Act 2009 (QLD). We may not be able to deal with or respond to your request if you choose not to provide your name and contact details. Our Queensland Privacy Policy (QPP) Privacy Policy explains how you may request access to and/or correct your personal information. Our policy also explains how you can complain to us if you consider we have breached our obligations to manage your personal information in accordance with the QPP, and how we deal with privacy complaints.Acknowledgement* I have read and accept the collection notice above. Contact name* First Last Email* Phone*Payment for* Community Grant RADF Grant Event sponsorship Rates refund Payment DetailsDo you want to be paid via BPay or direct deposit?* BPay Direct deposit BPay biller code*BPay customer reference number*Bank name*Account name*BSB*Account number*ConditionsTablelands Regional Council (TRC) is under no obligation to verify the accuracy of the bank details provided. Future changes in bank/company details are to be provided in writing to TRC. TRC will take no responsibility for any delays in payment or errors due to factors outside reasonable pay controls, including but not limited to, delays or errors in the banking system or errors in the account details. I understand that, if I do not provide my ABN TRC will be obliged to withhold 46.5% of the payment and remit it to the Australian Taxation Office. TRC reserves the right to terminate or suspend this direct credit payment and to make payment by other means they may determine from time to time. The supplier agrees to return to TRC any payments credited to the supplier in error, and TRC reserves the right to off-set the amount of any overpayment made in error against any existing or future debit or liability owned by TRC. Subject to the contract, the principal shall pay the amount due to the supplier including applicable GST before the end of the payment period. If an amount is due from the supplier to the principal, the supplier must pay that amount including applicable GST with 25 business days of receiving written notification to this effect from the principal. TRC’s standard Terms and Conditions apply to all purchases. Acknowledgement* I have read and agree to the above conditions. The details I have provided in this form are true and correct This authority is provided in accordance with our current bank authorities and/current company policies. You must accept the conditions of the collection notice (top of form) and the above statement/s before you can submit this form.
