Trade/Registered Interest Registration
This area has been designed for existing trades wanting Extranet website access, and trades interested in joining the Pattersons Group.
Trade Details
Trade/Company Name:
First Name:
Surname:
Locale:
Melbourne
- Regional Victoria
- Geelong
Sydney
- Ballina/Byron
- Newcastle
Brisbane
- Gold Coast
- Cairns
Adelaide
Perth
- Regional Western Australia
Tasmania
Business Address:
Business Suburb:
Business Postcode:
Business Phone:
Business Fax:
Mobile:
Email Address:
Password:
(Min 6 chars)
Trades provided:
All Trades
-or-
Builder
Electrician
Plumber
Painter
Plasterer
Roof Tiler
Ceramic Tiler
Other:
GST Information
Australian Business Number (ABN):
Registered for GST?:
Yes
No
Location
Please give a brief description of the areas you cover. For example: Melbourne Metropolitan, Surf Coast & and surrounding areas etc.
Regions Covered:
Trade References
Please provide three trade references for your workmanship. These details will be kept confidential.
Company:
Name:
Phone:
Company:
Name:
Phone:
Company:
Name:
Phone:
Comments
General Comments: Please provide any information that may be relevant to this request. You may also choose to briefly describe your services.
Comments:
Home Contact Details
Home Address:
Home Suburb:
Home Postcode:
Home Phone:
Home Fax:
Bank Account Information
BSB:
Account Number:
Account Name:
Account Branch:
License/Certification Details
Please provide details of your licenses/certifications held with various governing bodies.
ie. Commercial Builder
ie. Building Practioners Board
ie. 15/07/2009
Type:
Gov'n Body:
Expiry:
Type:
Gov'n Body:
Expiry:
Type:
Gov'n Body:
Expiry:
Insurance Details
Please provide details of all insurance policies held, relating to your company.
Insurer:
Policy:
Expiry:
Insurer:
Policy:
Expiry:
Insurer:
Policy:
Expiry:
Public Liability:
Please list value of Public Liability cover
Insurance Relationships
Do you in any capacity work for any insurers, loss adjusters or builders within the insurance industry? If so, please specify details:
Verification
In an effort to combat SPAM and ensure that all form submissions are submitted by an actual user, we have introduced a verification system. Simply type the characters you see into the box before submitting the form. If you are having trouble reading the characters, simply click the 'Load New Code' option which will create you a new image.
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