Company Name: ……………………………………………………………………………………………………...
Trading Name: …………………………………………………………………… ABN:…………………………..
Address: ………………………………………………................................................................................
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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