Company Name: ……………………………..........…………….…………………………………………………...
Trading Name: ………………………………………………………...….…..……… ABN:……………………… Address: ………………………………….................................….....………..............…………………………
GST Registered: _ Yes _ No ACN: …………………………
Contractor Name: ………………..........………………………………………..…………………………………….
Licence / Card Number/s: (insert licence details relevant to the Contractor’s industry)
(1) Issued By: ……….……………………… Number: …………………………. Expiry Date: ……/……/……
(2) Issued By: ……….……………………… Number: …………………………. Expiry Date: ……/……/……
Phone:………………………… Fax:………………………… Mobile………………………
Email:..................…………...…………………………………………………………………………………………
Contracted Services for: …………………….....……………………………………………………………………...
(Eg plumber, electrician, cleaner etc)
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