COG Connect Onboarding Form "*" indicates required fields Firm Business Name*ABN*Business Address* Street Address City State Postcode Office Phone Number*Australian Credit Licensee (ACL) Name*ACL Number*Access Required* Consumer Commercial Do you have more than one location? If yes, please provide details below.* Yes No Additional Business LocationsBusiness Name (if different)Business Street AddressOffice Phone Number Add RemoveList of users, and their permissions*Please note, that users can have multiple roles, e.g. A manager may also be a broker therefore answer Y to both roles. First NameLast NameEmail AddressPhone NumberBroker (Y/N)Manager (Y/N)Support (Y/N) Add RemoveWho will finalise your loans?*This is the person who will receipt payment and lock down the loan figures in COG Connect. You may have more than one user who has this permission. First NameLast Name Add RemovePlease nominate your office COG Connect champion*This will be the first contact point for your office to seek assistance. If the champion doesn’t know the answer, they will contact COG Connect support and then distribute the information back to your office. You may have more than one champion.First NameLast Name Add RemoveList of fees for your financiers along with the rebates you receive, if applicable.* Example: Macquarie Leasing, Document/Origination Fee, $990, $150 FinancierFee NameTotal Fee AmountRebate Amount Add RemoveWill you have a list of Referrers/Introducers to import?* Yes No Have you seen or received a Demo of COG Connect?* Yes No Please provide your logoAccepted file types: jpg, jpeg, png, Max. file size: 30 MB.Notes