Apply for your virtual address

(07) 5591 9500

1 Plan

Monthly Plan: $99 (inc GST)

6 Month Plan: $462 (inc GST)

12 Month Plan: $660 (inc GST)

2 Start Date

Start Date:

3 Your Information

Name:

Email:

Phone:

4 Your Company Information

Company Name:

ABN:

ACN:

Please give us a short description of what your company does. If at any stage your company expands or changes are implemented, please let us know so that we are kept up to date:

Do you have any other office addresses, telephone/fax numbers you would like us to make note of?

Do you have any other companies that you would like us to take a note of?

5 Staff Information

Please list the key staff that we can contact for different situations.

Full name:

Position:

Contact Mobile:

Contact Email:

Full name:

Position:

Contact Mobile:

Contact Email:

Full name:

Position:

Contact Mobile:

Contact Email:

Full name:

Position:

Contact Mobile:

Contact Email:

6 Mail Handling

Redirect my mail to another address

Held in reception for collection and advised by email

email address / mailing redirect address information: