Associated Provider

All existing approved Associated Providers are required to review and agree to the updated contract conditions. Please confirm or update your business details below, review the applicable contract, and provide formal acceptance on behalf of your organisation.

Please email suppliers@integratedliving.org.au if you have any questions.

Associated Provider Contract Agreement

Registered Business Name *

Trading Name *

ABN *

ACN (if applicable)

Business Address *

Phone *

First Name *

Surname *

Position / Role *

Are you authorised to accept the T&Cs? *

Agreement Declaration

In signing this Agreement, you also declare and acknowledge:

Acceptance of Updated Contract - Short Form *

Acceptance of Updated Contract - Short Form

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I confirm that I am an authorised delegate of the above business and that I have reviewed and agree to the updated Associated Provider Contract and its terms and conditions.

Acceptance of Updated Contract - Comprehensive Conditions *

Acceptance of Updated Contract - Comprehensive Conditions

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I confirm that I am an authorised delegate of the above business and that I have reviewed and agree to the updated Associated Provider Contract and its terms and conditions.

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Associated Provider

Associated Provider Contract Agreement