NWFA MEMBERSHIP
APPLICATION FORM

PO Box 750

 

 Telephone: (02) 9533 9577
WILLOUGHBY NSW 2068   Facsimile: (02) 9533 9422
    A.B.N.: 76 805 268 503

Website:

www.nwfa.org.au

 E-Mail: admin@nwfa.org.au

This is an Interactive Form please FILL FORM ONLINE then click on the SUBMIT button (payment must follow )
- otherwise PRINT & send with Cheque Payment made out to NWFA asap

(Membership Annual Subscription is $300.00 for full membership and is GST exempt) 

1.  APPLICANT/COMPANY DETAILS

Company Name:

Trading As:

A.B.N.:

A.C.N.:

Member's Name:

Position:

Street Address:

Suburb:

Post Code:

Telephone:

Fax:

Mobile:

Licence No.:

E-Mail:

Website:

If the mailing address is different from above, please fill out the following details:

Postal Address:

Suburb:

Post Code:

 

  

 

  

2.  PERSONAL EXPERIENCE

Trade Qualifications:

Experience:

3.  PAYMENT METHOD

CHEQUE (made payable to N.W.F.A.)

CASH
       

4.  YOUR BUSINESS IS.....

Please tick the appropriate box(es) your business works in

   Showroom

    Floor Layer

   Floor Sanding

    Manufacturer/Wholesaler

   Distributor

    Technical Reports/Inspectors

   Concrete Underlay Contractors

    Other

5.  YOUR BUSINESS SERVICES

Please tick the appropriate box(es)

   Sydney Metro

    Central Coast

   South Coast

    North Coast

   North West

    South West

   Central West

    ACT

6.  MEMBER AGREEMENT

As a new member your company profile will assist the NWFA in developing technical support for your business.

I/We hereby agree to be an active member of the N.W.F.A.A. and abide by the codes of conduct and codes of practice set by the association.

Signed (print name):

Position:

Date:

  yes      no

Would you like your details posted live on NWFA's website

Please state what details you are happy to have online.

7.  PERSONAL EXPERIENCE

Referred By:

How did you hear about the association:

8.  REFEFEES (For Contractors)

Please provide details of at least three (3) licensed building practitioners* or suppliers who are able to verify the quality of your workmanship for the type of work that you do (floorsanding, parquetry, floating floors, etc).  

REFEFEE #1

Name:

Company:

Contact Phone No:

Mobile:

Project Details:

REFEFEE #2

Name:

Company:

Contact Phone No:

Mobile:

Project Details:

REFEFEE #3

Name:

Company:

Contact Phone No:

Mobile:

Project Details:

*  Building practitioners refers to builders, project managers of large construction companies, architects or other flooring contractors who can properly evaluate quality workmanship and be called by a representative of the Membership Committee to verify project details.