Account Application

Use the form below to apply for one of the following 3 account options:

Trade Account (Wholesale)
Dingo Service Agency
Dingo Sales & Service Agency.

APPLICATION FOR AN AGENCY OR TRADE ACCOUNT

A copy of your application form will be auto emailed to the email address that you enter on the form (please double check you have typed the email address correctly). Once submitted your application will be reviewed and we will be back to you shortly.

Username *

Email address *

What type of account are you applying for? *

Dingo Service Agency

Dingo Sales & Srevice Agency

A Trade Account

Applicants name *

Registered Business Name

Trading As *

ABN *

Business Hours Phone *

Fax

Mobile Phone Number

Business Street Address *

Town / Suburb *

Postcode

country Country

State *

Business Description *