Trade Register Trade Register Form Name First Last Trade / Company Name*PositionBusiness Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Business PhoneBusiness FaxMobileEmail* Trades provided Builder Carpenter Ceramic Tiler Electrician Painter Plasterer Plumber Roof Tiler If other trade providedGST InformationAustralian Business Number (ABN)Registered for GST?*YesNoLocationsPlease give a brief description of the areas you cover. For example Brisbane CBD, Rural and surrounding areas etc.Regions Covered Trade ReferencesName First Last CompanyPhoneName First Last CompanyPhoneName First Last CompanyPhoneCommentsComments Bank Account InformationBSBAccount NumberAccount NameAccount BranchLicence/Certification DetailsPlease provide details of your licence/certifications held with various governing bodies.TypeGoverning BodyExpiryTypeGoverning BodyExpiryTypeGoverning BodyExpiryInsurance DetailsInsurerPolicyExpiryInsurerPolicyExpiryInsurerPolicyExpiryPublic LiabilityInsurance RelationshipsDo you in any capacity work for any insurers, loss adjusters or builders within the insurance industry? if so, please specify detailsInsurance Relationships PhoneThis field is for validation purposes and should be left unchanged.