Centaur Software

Centaur Software referral form

Complete this form if you're a Centaur Software user interested in CommBank Smart Health – our portable, efficient payment and claiming solution. Note: You can also complete the form on behalf of someone else.

* Required

Are you/they an existing CommBank customer?

Yes

First name

Last name

Business name

Postcode

Preferred contact number

Email address

Tell us a bit more about the business?

3000 characters remaining

What is your/their preferred contact method?

Call

When should we get in touch?

Thanks for helping us with this information! Once you’re happy with your answers, see below before you submit.

By submitting the information above, you and any third party whose information is being provided confirm your answers to be true and correct and consent to us using this information to communicate electronically, by phone or SMS, including to provide updates, reminders and (unless you tell us not to) information about our products or services. Where you are submitting the above information on behalf of a third party, you confirm that you have captured the consent of that party to share their information with us. You and any third party whose information is being provided agree that we may use and disclose the personal information collected in this form to assess your application as set out in your Privacy Consent. For information on how we collect and handle personal information including how you can access and collect your personal information please see our Group Privacy Statement. Centaur Software are not part of, nor act on behalf of, the CBA Group and does not distribute the products and services CBA provides.