Alien Homes Pty Ltd
A.B.N. 76 127 499 852 | QBCC 15349015 | hello@alienhomes.com.au | 0499 871 552 | PO Box 384, Biggera Waters Qld 4216
Subcontractor Registration Form & Agreement
Business Information
Type of Entity
*
Please Select
Company
Sole Trader
Trust
Partnership
A.B.N. of Entity
*
Company/Business/Trading Name (Per ABN Registration)
*
Are you registered for GST?
*
Yes
No
Company/Business QBCC License Number
*
Principal Contact
*
First Name
Last Name
Principal Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Postal Address
*
Postal Address
Postal Address Line 2
City
State / Province
Postal / Zip Code
Number of Employees:
*
Please Select
0
1-5
5-10
10+
Number of Contractors:
*
Please Select
0
1-5
5-10
10+
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Subcontractor Insurance Details
Type a question
Rows
Insurer
Policy Number
Expiry Date
Cover $
WorkCover
Public Liability ($10m Mandatory)
Professional Indemnity Insurance
Personal Accident
Please upload a copy of your insurance policies here or email them to hello@alienhomes.com.au
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Contact Details for Purchase Orders
Contact Name
*
First Name
Last Name
Position
*
Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Contact Details for Invoicing and Accounts
Contact Name
*
First Name
Last Name
Position
*
Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Subcontractor Terms & Conditions
By clicking and signing the below, you acknowledge that you have read and understood the terms and conditions outlined in this Subcontractor Agreement.
Signature
*
Signed By:
*
First Name
Last Name
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