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Prospective Member Questionnaire
The information provided in this questionnaire will assist in the evaluation of candidate suitability.
1.
Contact Details
Contact Person
Mobile Number
Email Address
2.
The trading name of your business?
3.
What is your street address of your existing store?
*
4.
Is this the only location you retail from?
(Required.)
Yes
No
How many locations do you retail from?
5.
What is the population of your town / suburb?
6.
List your top suppliers?
Supplier 1
Supplier 2
Supplier 3
Supplier 4
Supplier 5
Supplier 6
*
7.
What is your approximate turnover in work wear and safety?
(Required.)
$1m - $2m
$2m - $3m
$3m - $5m
$5m - $10m
$10m +
8.
Any additional comments?
