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Frequently Asked Questions
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Preferred Supplier Application Form
Contact Details
Name:
*
Phone:
*
Fax:
Mobile:
Email:
*
Company Details
Company Name:
*
ABN:
*
Address:
Website:
Years in Operation:
*
Insurance Cover:
Tick the types of insurance in place at your company:
Public & Products Liability
Professional Indemnity
Workers Compensation
Supplier Profile
Categories:
Computer Repairer
Electrical Goods Repairer
White Goods Repairer
Brown Goods Repairer
Hardware
Software
Telecommunications
Please summarise the products/services offered by your organisation. Attach any relevant information:
Attachment:
Please state the geographical area/s covered by your organisation:
Comments:
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