Supplier register form

Use this form to register as a supplier with the City.

First name*

Last name*

Business name*

ABN/ACN*

Does your business operate from a suburb within the City of Stirling?*

To view the City of Stirling boundaries, click here to visit Stirling Maps.

YesNo

Business premises address*

Suburb*

Postcode*

Daytime contact number*

Email*

Website

Business description*

Is your business classed as a ‘Small Business’?*

The City defines a small business as a business that employs fewer than 20 people and has a turnover less than $10m per annum.

YesNo

Is your business an Aboriginal Business as defined under the Local Government Act 1995?*

The Local Government Act 1995 defines an Aboriginal Business as a registered on the WA Aboriginal Business Directory as a published by the Chamber of Commerce and Industry of Western Australia or registered with the Australian Minority Supplier Office Limited (T/A Supply Nation).

YesNo

How many of your employees are City of Stirling residents *

Do you make significant purchases from other businesses within the City of Stirling? *

YesNo

Declaration*
By checking this box, you are agreeing to being added to the City's supplier register.

Supplier register form

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