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* 1. Registered Business Name

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* 2. ABN

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* 3. Trading Name

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* 4. Store Address

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* 5. Postal Address

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* 6. Store Phone Number

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* 7. Store Email

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* 8. Owner / Director Names

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* 9. Store Website Address

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* 10. Key Contact

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* 11. Key Contact direct email?

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* 12. Key Contact Mobile Number

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* 13. How many years has your business been operating?

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* 14. How long have you owned the business?

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* 15. Can you provide a brief outline of your business experience?

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* 16. How many stores do you operate?

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i We adjusted the number you entered based on the slider’s scale.

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* 17. What was your annual turnover last financial year?

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* 18. Do you belong to other buying or promotional groups 

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* 19. If you answered yes to the previous question, what groups are you a member of?

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* 20. What product groups do you sell?

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* 21. Do you promote your business online?

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* 22. If yes, what is your URL?

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* 23. What social channels do you promote on?

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* 24. Who are your main suppliers in the Workwear category?

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* 25. Who are your main suppliers in the Industrial Footwear category?

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* 26. Who are your main suppliers in the Industrial Corporate Wear category?

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* 27. Who are your main suppliers in the Industrial PPE / WPS category?

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* 28. Who are your main suppliers in any other category?

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* 29. What is your approximate annual spend with the Suppliers you have?

  <10k 10k - 50k 50k - 99k >100k
Bisley Workwear
Blundstone
Footwear Industries (Steel Blue)
FXD Workwear
Fashion Biz
The Workwear Group
TSCO
Ritemate
Victor Footwear (Mongrel Boots)
Bata
Tabooki
Accent Group (CAT)
Redback
Oliver
Mack
DNC
Port West
NCC
Shiny
City Collection
Maxi Safe

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* 30. If there are additional suppliers you work with that are not outlined in the previous question, please provide the name and approximate value of your annual spend with them.

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* 31. How many Full Time Equivalent (FTE) staff do you employ?

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i We adjusted the number you entered based on the slider’s scale.

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* 32. Do you have an embroidery machine/s?

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* 33. If you answered Yes to the previous question, how many heads do you run?

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i We adjusted the number you entered based on the slider’s scale.

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* 34. Do you have a heat press machine?

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* 35. What Point-of-Sales system do you operate ?

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* 36. Would you be prepared to stock a generic new label of industrial jeans, work socks, work shirts if you could sell these at greater margins?

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* 37. Does reducing the costs of telecommunications, electricity, eftpos fees and insurance by being part of a large buying group interest you?

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* 38. Is there any additional, relevant information you would like to add to support your application?

By submitting this form, you agree that information contained here within is to the best of your knowledge true and accurate.

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