* Denotes that the field is mandatory.
Please complete the below information to register as a user for Lodgement of Applications.

A confirmation email will be sent to you after your request for registration has been processed by our staff. On receipt of this email you will be able to use our system.

Please note that user accounts will only be created Monday to Friday between 8:30am to 5pm.

This is not the registration area for eRates - please click here to register for eRates.
Surname *
Given Names *
Company Name
Email Address *
User Name *
Mobile Number
Address Line 1 *
State Code
Customer Type *
Payment Method *