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Join - Member

Please complete the following form to register (red fields are mandatory).

Contact Details

Company Name
Trading Name
Business Address
Town / Suburb
Location Regional Centre State capital
State / Region
Post Code
ACN Number
ABN Number
Contact Name
Phone Number
Fax Number
Mobile Number
E-mail Address
WEB Site Address

Business Details

Year Commenced
Workshop Size Sq Ft:    OR    Sq M:
Number of Staff
Other Services Provided
Warranty Provided

Customer Facilities

Office / Reception Area Yes No
Customer Toilets Yes No
Tea / Coffee Facilities Yes No
Off-Street Parking Yes No
Undercover Assessing Yes No
Vehicle Cleaning/ Detailing Yes No
Courtesy Vehicles Yes No


Hoist Yes No
Computer Quoting System
Digital Imaging Yes No
Measuring System Yes No
Baking Oven Yes No
Infra-red Curing System Yes No
Dustless Sanding System Yes No
Double-sided Spot Welders Yes No
Job Scheduling System Yes No
Staff Incentive or Bonus System Yes No
Electronic Parts Ordering Yes No
Separate Parts Storage Facility Yes No
Plastic Welding Facility Yes No
Mechanical Services Provided Yes No
Inverter Spot Welders Yes No
Prep Bays Yes No
UV Equipment Yes No
Paint System

Recommendations and Affiliations

HELP on completing this form - CLICK HERE !!!

Insurance Company Signs
Member of Repairer Buying Group or Network
Industry Body Membership
Vehicle Manufacturer Signs (Formal Recommendations)
Extended Paint Warranty Programs Yes No
Quality Assurance
(ISO 9002)
Yes No
QA Registration No.
QA Registration Date
Environment Certification
(ISO 14000)
Yes No
EC Registration No.
EC Registration Date

Marketing Information

How Did You Hear About Repairer NETworks?
Insurance Company
Car Dealer
Paint Company    -   Rep Name  
Equipment Supplier
Another Repairer
Other Source     -    Describe  

I certify that this information is true and correct. I understand that it may be viewed by users and customers of this system, and that provision of false or misleading information may result in my removal from the system.

Targeted specifically at Work Providers, this is probably the most important information source about your business available anywhere.   It is therefore crucial that you review and revise this information regularly, thereby ensuring that Work Providers are always viewing the most up-to-date profile regarding your business.

I accept


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