Franchise/License enquiry form

* Required

Your details

First name *

First name required.

Last name *

Last name required.

Company name

Email address *

Email required.

Contact number *

Contact number required.

Address *

Address required.

Suburb required.

State required.

Postcode required.

In which state are you in the process of purchasing a Licenced Post Office? *

Location required.

Name and location of the outlet you are in the process of purchasing *

Outlet name and location required.

Additional Comments

Please accept the residency statement.

I agree to undergo a police check and provide consent for Australia Post to obtain my personal information. *

Please agree to undergo a police check.

I have not been declared bankrupt or been disqualified to act as a director of a company. *

Please confirm that you have not been declared bankrupt.

I acknowledge I have answered the above questions and provided information that is true and correct. *

Please confirm that you have answered the above questions and provided information that is true and correct.

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