Company , Business or Trading Name * Email *
Phone * Postcode Occupation * Select One Abrasive or Sand Blasting Services Air Conditioning and Heating Services Air Conditioning Installation and Servicing Awning, Blind or Roller Shutter Installation Bobcat Contracting Services, Excluding Dredging Boilermaker Bricklaying Builder - House Construction, Alteration or Renovation Built-In Wardrobe Installation Carpentry Services - On-Site Fabrication Carpet Laying Cement Rendering Concreting Construction Services n.e.c. Coolroom Installation Demolition of Buildings or Other Structures Earthmoving and Excavation, Excluding Dredging Electrical Services Electrical Services – Queensland Fence Construction Fire and Security System Services Fire Extinguisher Servicing Fire Sprinkler Installation and Servicing Floor and Wall Tiling Floor Sanding and Polishing Garden Sprinkler Installation Glazing Services Guttering Installation Insulation Material Installation Landscaping Services Painting and Decorating Services Paving Services Plastering and Ceiling Services Plumbing Services Plumbing Services – Victoria Refrigeration Equipment Installation Roof Spraying, Painting or Coating Roof Tiling and Metal Roof Fixing Scaffolding Erection Security System Installation Sign Writing Services Site Preparation Services, Excluding Dredging Skylight Installation Stonemason Structural Steel Erection Services - Excluding Welding Structural Steel Erection Services - Including Welding Television Antennae Installation Television Cable Installation Waterproofing Services Wooden Flooring Installation Wooden Formwork Erection Wooden Kitchen Cabinet Installation Limit of Liability * Select One $5,000,000 $10,000,000 $20,000,000 State * Select One ACT NSW NT TAS VIC QLD SA WA Number of staff including directors * Select One 1 2 3 4 5 6 7 8 9 10 Do you currently have Public Liability Insurance? Select One Yes No Estimated Annual Turnover How Many Years Have You Been Trading? Have you or any of the directors ever been declined insurance, been bankrupt or had a criminal conviction? * No Yes Include tool of trades cover? * Select One No $5,000 $10,000 $20,000 Comments
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