STEP 1. Type the names of Individuals, Trusts, Superfunds, Operating or other entities

(entities must have common majority ownership) to be included in the ‘Audit Management Service’ and separate names with a comma.

STEP 2. Select the ‘Shared Level’ of professional fees required.

The ‘Shared Level’ selected should ensure sufficient professional fees coverage in the event of being exposed to more than one audit or a multi year audit. Names listed in Step 1. above, share the ‘Level’ selected, which is the maximum amount available during the subscription period. The AMS fee is indicated alongside each ‘Shared Level’ and includes GST.

$5,000/$165 $10,000/$270 $15,000/$415 $20,000/$490 $25,000/$645

STEP 3. Your contact details

Phone number: Area code 02 03 07 08 Number

Your postal address, including post code:

Preferred contact email address:

STEP 4. Please provide details of your accountant or tax agent

Firms Name :

Suburb :

STEP 5. Payment options

Our ABN is 93 108 815 194. At month end, we will mail a Tax Invoice confirming your AMS subscription.

Your AMS fee is $ .  Your application Reference Number is 11675

If paying by cheque, mail a copy of this application plus payment to Audit Services Pty Ltd PO Box 414 Crows Nest NSW 1585.

If paying by EFT: BSB: 332027 Acct: 552229946 Name: Audit Services P/L Trust Account: Reference Number 11675

If paying by credit card, click on the Buy Now button to use PayPal and quote Reference Number 11675

STEP 6 . Print a copy of this application form for your records.

STEP 7 . Submit this application form.