Site Information If directed by your consultant, please fill in the form below with your custom site information: Name Site Information Trading Name * Street Address * Suburb * State * Postcode * Main Phone Number * Free Trial Period FreeTrial 2 Month Sample (Free Trial) Customers may request a 2-month trial that samples what Monit has to offer. Please DON’T check this box if you want to get started with the full Monit system. Number of Employees at this site * 10+ Include full-time, part-time and semi-permanent staff Person in Charge This person is ultimately responsible for the site Name * Email * Mobile Number * Accounts Contact For billing and other administration Accounts Name Accounts Email * Accounts Phone Number WHS Contact This person will receive and complete the tasks to do each month WHS Name * WHS Email * WHS Mobile Number * Is this the person who will be trained? YesNo Warehouse Facility Please fill in warehouse information if relevant Is there a warehouse facility on this site? YesNo
