Contractor Induction Enquiry

Please register below and a representative from Centre Management will be in contact with you to complete your online induction

* Required
  Title
FIRST NAME *
LAST NAME *
COMPANY NAME *
TRADING AS
EMAIL ADDRESS *
BUSINESS PHONE NUMBER *
MOBILE *
BUSINESS ADDRESS *
CITY *
STATE *
POSTCODE *
COUNTRY *
POSTAL ADDRESS (if the same write 'as above') *
TYPE OF BUSINESS (Electrician, Plumber, Tiler, etc) *
Type of work/location of works
Do you or your staff expect to be working at heights
NUMBER OF STAFF TO BE INDUCTED Please note if you are using sub-contractors they will be required to complete an induction under their company details. *
ADDITIONAL COMMENTS
ENTER WORD VERIFICATION IN BOX BELOW *
(no spaces in between numbers & letters)
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253 Pacific Highway, Coffs Harbour, NSW 2450 | 02 6652 4366