Membership Application: Pool Builders
W EU S EH RN RA AL SO TC AU ST A V Q IUTE E T NAUS S O LTRA IL IIA N D S W I M M I N G P O O L & S PA A S S O C I AT I O N
Business Contact Details
Legal Entity: Trading Name: ABN:
QBCC Licence Number:
Year Commenced:
No. of Employees:
Business Address (Head Office): Suburb:
State: Postcode:
Postal Address (if different from above): Suburb:
State: Postcode:
Phone Number:
Fax Number:
Business Website Address: Business Email: Director’s (1) Full Name:
QBCC Licence No. (if any):
Email: Mobile: QBCC Licence No. (if any):
Director’s (2) Full Name:
Email: Mobile: Type of Business (please tick ) Builder/Installer
Pool Renovator Landscaping
Concrete Pools
Fibreglass Pools
Commercial Pools
Vinyl Lined Pools
Modular Pools
How did you hear about SPASA QLD? Insurance Policies of Applicant (please tick and attach policy certificate) Public Liability
Value $
Insurer’s Name:
Contract Works
Value $
Insurer’s Name:
Nomination by an existing SPASA member (if you are unable to obtain nomination from an existing member, please leave blank and forward your application to the SPASA QLD office for review) Name:
Business Name:
Signed:
Contact Phone Number: