I/We hearby acknowledge that the use of premises mean that the premises are to be wholly or predominantly used for the sale or hire of goods by retail.
APPLICANTS
First Applicant:
Title
First Name
Last Name
Email
Address:
Street
Suburb
State
Postcode
Postal Address (if different from above):
Street
Suburb
State
Postcode
Telephone:
Business Hours
After Hours
Mobile
Facimile
Drivers Lic. No.
Company Name
Company Reg. Address:
Street
Suburb
State
Postcode
ABN
ACN
GST Registered
Director 1:
Title
First Name
Last Name
Email
Address:
Street
Suburb
State
Postcode
Own or Rent
Mobile
Director 2:
Title
First Name
Last Name
Email
Address:
Street
Suburb
State
Postcode
Own or Rent
Mobile
Director 3:
Title
First Name
Last Name
Email
Address:
Street
Suburb
State
Postcode
Own or Rent
Mobile
REFERENCES (TRADE)
First Reference:
Title
First Name
Last Name
Company
Address:
Street
Suburb
State
Postcode
Phone No
Relationship
Reference 2:
Title
First Name
Last Name
Company
Address:
Street
Suburb
State
Postcode
Phone No
Relationship
Reference 3:
Title
First Name
Last Name
Company
Address:
Street
Suburb
State
Postcode
Phone No
Relationship
COMMENTS
Comments
PRIVACY ACT
I/We hearby acknowledge that under the Privacy Amendment (Private Sector) Act 2000 the information contained herein will be solely for the confirmation and verification of the purposes intended, and hereby authorise MORRISON COMMERCIAL INDUSTRIAL to contact the third named parties, and agree to notify the said third named parties immediately of impending contact being made by MORRISON COMMERCIAL INDUSTRIAL.
