Membership - Australian Builders Network

Builders Business or Company Name		Date business commenced
		Must choose at least one option below
Trading Name - if applicable		Sole TraderPartnershipProprietary CompanyTrustOtherRegistered builder
Phone Number
Office Fax Number
Email
First Name		Surname
		Builders License Number
Copy of business registration	YesNo	Are you a member of	HIAMBAV
		Member Number

Registered Office address		Suburb
State		Post Code
Postal address if different from the above		Qty of Homes built last financial year
ABN		How many site starts do you forecast for the next 12 months?
ACN (if applicable)
Number of years in business
Are you a member of any building or buying group? If so who?		In VIC which areas do you work in
EST annual turnover for last year
Are you an existing Bunnings Customer?	YesNo	If YES please provide existing Bunnings Power Pass Account number so we can link the discounted price file to your account
Are you an existing Bunnings Customer?	YesNo	Bunnings Power Pass Account Number:

DIRECTOR 1	DETAILS OF DIRECTORS OR SOLE TRADER
Full Name		Home Phone
Home Address		Suburb
Post Code		HOME Fax
DOB		Email
Drivers License No		Mobile Number
Current Occupation		Employers Name
DIRECTOR 2
Full Name		Home Phone
Home Address		Suburb
Post Code		HOME Fax
DOB		Email
Drivers License No		Mobile Number
Current Occupation		Employers Name
DIRECTOR 3
Full Name		Home Phone
Home Address		Suburb
Post Code		HOME Fax
DOB		Email
Drivers License No		Mobile Number
Current Occupation		Employers Name

INDUSTRY REFERENCES
BUSINESS NAME		Phone
Contact Name		EMAIL
BUSINESS NAME		Phone
Contact Name		EMAIL
BUSINESS NAME		Phone
Contact Name		EMAIL
HAVE YOU OR ANY DIRECTORS IN THE LAST 5 YEARS BEEN BANKRUPT		YESNO