Apply to Become an Avida Service Agent

Trading name*

Director/Principals name*

Business address*

Street Suburb/Town State Postcode

Email address*

Enter Email Confirm Email

ABN*

Years trading*

Business number*

Trading hours*

Mobile number*

Retail labour rate*

Facsimile

Warranty labour rate*

Contact person*

Total number of staff*

Number of qualified staff*

Fields of expertise*

Qualifications held by business and staff*

Repairer Licences*

Dealer Licences*

MTA member number*

List other brands or suppliers authorised to the business (Dometic, AL-KO, Truma etc)

Site Facilities

Site area*

Customer lounge*

Yes
No

Under cover area

Vehicle storage*

Yes
No

Number of bays*

Wash bay*

Yes
No

General comments

Apply to open an account for part supply*

Yes
No

Download Credit Application Form

Please CLICK HERE to download the Avida Commercial Credit Application form. Complete the details and upload the completed form using the Upload Documents field at the end of this form.

Receive technical bulletins from Avida*

Yes
No

Open to participate in training offered by Avida*

Yes
No

Access to DOCs and my services to Avida website repairer list*

Yes
No

Applicant name*

Application Date*

Upload Completed Credit Application Form*

Accepted file types: pdf, jpg, png, Max. file size: 128 MB.

By selecting this button I declare the above details are a true and correct account of the above named business*

Yes

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Phone

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