BBM Member Preview - Big Bull Movers

ABOUT YOU:

Company Name

First Name

Last Name

Phone Number

Email Address

Resident Type

Citizenship Permanent Resident Other Visa Temporary Resident

ABN

ACN

Address

Name of KIN

Relation of KIN

Phone Number of KIN

Do You Have Goods and Public Liability Insurance?

Yes No

If NO you must be willing to get public Liability to become an authorized Big Bull Movers Contractor.

Do you have valid Motor Vehicle Insurance?

Yes No

You authorize BIG BULL MOVERS PTY LTD to submit payment for work completed and any reimbursements to the account below

Bank Name

Account Name

BSB Code

Account Number

How many teams/trucks will you be registering to Big Bull Movers

Operating Style

Owner Driver Fleet Operator

Cubic capacity of vehicle

Location of vehicle

First Name

Last Name

Phone Number

Driving License Number (Attach Copy)

Preview document

Signature

Date

I've read and agree to the terms and conditions.