ENGAGEMENT FORM

ENGAGEMENT FORM

Pursuant to Chapter 6 Division 2 of the Building Act 1975
Quote number *
Use quote number from your quote (example Q20257952)
Landowner Information (Owner/Owners):

(Please ensure details are for who owns the property/land of the project)
Full Name*

First NameLast Name
Full Name

First NameLast Name
Company Name (If applicable)
E-mail*
example@example.com
Mobile Number*
Please enter a valid mobile number.
Application Information (Applicant) :

(Person who will be responsible for application/receive all communications)
Full Name*

First NameLast Name
Company Name (If applicable)
E-mail*
example@example.com
Mobile Number*
Please enter a valid mobile number.
Approved Contacts:

I agree to give permission for any of the below entities to be able to contact & discuss the application with Rocket Building Approvals?
Name

First NameLast Name
Choose option
Email
example@example.com
Name

First NameLast Name
Choose option
Email
example@example.com
Specify nature of works (please match to quote)*

New DwellingRenovationsDuplexTown HouseSwimming PoolDeckCarportPatio/PergolaRetaining WallShedDemolitionSecondary DwellingRe-RoofOther
Other :
Building Project Address:

Provide the address of the works
Address Info *

Street Address

Surburb

CityPostcode
Projected Cost of Works?*
Type of Builder ?*
Terms & Conditions (please review conditions 1.7, 1.8 and 1.9 before engaging)
Signature*

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The applicant has read the below terms and conditions and acknowledges the information set out in the agreement.
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