New Customer Details

Your business

ABN

We check this against the Australian Business Register and fill in your entity details automatically.

Registered company name

Trading name

ACN

Website

Billing address

Search for an address

Or .

Facilities maintenance contact

The person we call to book work in and report back to.

Contact name

Position

Mobile

Other phone

Email address

Site details

Add every location we'll be attending. You can add as many as you need.

Accounts & invoicing

Are purchase orders required on invoices?

Yes No

Accounts payable contact name

Phone number

AP email address

Additional email for invoicing

Payment terms requested

Requested only — Ambient will confirm your terms in writing when your account is approved.

14 days from invoice date 14 days from end of month 30 days from invoice date 30 days from end of month Other

Any other requirements for invoicing

How else can we help?

We work across a multi-disciplinary group. Tick anything you'd like a conversation about — no obligation.

Office fitout and refurbishment General building repairs and maintenance Airconditioning upgrade or installation Airconditioning servicing and maintenance Electrical maintenance and projects Electrical testing and compliance Plumbing maintenance

Any additional services not mentioned

How did you hear about us?

Check and submit

Have a quick read. Use the edit links to change anything.

Declaration I confirm the details above are correct and I'm authorised to open an account on behalf of this business.

Your name