Contractor Signup
Who is your Premrest contact?
*
Please Select
Floor Installers (Jason, Tim, Peter)
Special Projects (Colin Saddington)
Cleaning Team (Perry, Rick, Jack
Legal Business Name
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Trading name (if different to legal entity)
ABN
*
Is this entity GST registered?
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Yes
No
Do you directly employ others?
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Yes
No
Do you currently hold Public Liability insurance $20M
*
Yes
No
Bank Details
Bank Account Number
Bank Account Name
Bank BSB
Contact Details
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main Contact
*
First Name
Last Name
Email
*
example@example.com
Phone
*
Other Contacts
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First Name
Last Name
Email
Phone
Main Contact
Accounts Contact
Other 1
Other 2
Other 3
State/Area you service
*
Services Offered
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Yes
Cleaning - Carpet, hard floor & Upholstery
Cleaning - Tile & grout
Cleaning - Windows
Cleaning - Strip and seal
Cleaning - Flood Restorations
Cleaning - Moisture inspection/report
Trade - Carpet repairs
Trade - Carpet tiles
Trade - Carpet Broadloom
Trade - Vinyl repairs
Trade - Vinyl installation
Trade - Minor building maintenance
Trade - Painting
Trade - Tiling
Trade - Concrete Grinding
Trade - TGSI / Entrance Matting
Other
Do you hold a Construction Induction card? (White card or equivalent)
Yes
No
Other services or anything additional notes:
Submit
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