Application Form

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Company Name

Trading as (If Applicable)

Registered Trading Address

Name *

First

Last

Position

Telephone Number

Mobile Number

Email *

Website / URL

Company directors (Please List Any Additional Directors)

No. Of Employees

Which type(s) of building work does your company undertake?

Membership Type

Confirmation

Tick this box to indicate that you have read and agree to our Terms and Conditions
I hereby certify that the above information given are true and correct as to the best of my knowledge
I agree that my information will be stored and used for purposes which have been disclosed to the Data Protection Registrar
I will advise a member of the NABC for: Each ‘enquiry’ I have quoted on
I will advise a member of the NABC for: Each ‘enquiry’ I have converted
I will advise a member of the NABC for: Each ‘enquiry’ I have completed
I agree to pay NABC the commission owed as shown in the Terms & Conditions of any project successfully won through them
I hereby certify that the above information given are true and correct as to the best of my knowledge

Signed

Date

Name

Helping you connect with local building contractors.

NABC is a lead-matching service and does not carry out works directly. ICO Registration: ZA458466.