Please complete ALL fields.
COMPANY NAME:
COMPANY ADDRESS:
SUBURB:
STATE:
ACT
NSW
NT
QLD
SA
TAS
WA
VIC
POSTCODE:
ACN/ABN:
TYPE OF BUSINESS:
Interior Decorator:
Builder:
Developer:
Retail:
Architect:
Other:
Please specify:
NO. OF YEARS TRADING:
CONTACT NAME:
PHONE NO.:
FAX:
*EMAIL:
*Please note that email is our preferred method of communication.
TRADE REFERENCES
(We require industry - based trade references, e.g. fabric houses).
REFERENCE 1
BUSINESS NAME:
CONTACT NAME:
PHONE NO.:
REFERENCE 2
BUSINESS NAME:
CONTACT NAME:
PHONE NO.:
REFERENCE 3
BUSINESS NAME:
CONTACT NAME:
PHONE NO:
REFERENCE 4
BUSINESS NAME:
CONTACT NAME:
PHONE NO.: