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(08) 9234 3000
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Home
Gallery
Kitchens
Bathrooms
Laundries
Outdoor Kitchens
Custom
Benchtops
About us
Blog
Awards
News
Contact us
Careers
Menu
Home
Gallery
Kitchens
Bathrooms
Laundries
Outdoor Kitchens
Custom
Benchtops
About us
Blog
Awards
News
Contact us
Careers
(08) 9234 3000
Online Ordering Portal
Client Information Form
Step
1
of
4
25%
Client Details
Please ensure that you have filled out all the details
*
Individual
Sole Trader
Trust
Partnership
Company
Other
Who have you been in contact with?
*
Eric Sudarso
Glenda Roff
Jason Knox
Squeak Van Duyn
Stuart Hodges
Who have you been in contact with?
*
Courtney Kruta
Donna Alexander
Sally Kennedy
Jasmin Ball
Melissa Van Duyn
Nat Rowe
Squeak Van Duyn
Full Name or Legal Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Physical Address
*
Street Address
Address Line 2
City
State
Postcode
Billing Address
If same as physical address, please leave it blank
Street Address
Address Line 2
City
State
Postcode
Email
*
Phone Number
*
Fax Number
Mobile Number
Personal Details
Please skip to the next section if you're a Sole Trader, Trust, Partnership, Company or Other
Personal Details
Please complete if you are an Individual
Date of Birth
*
DD slash MM slash YYYY
Driver's License Number
*
Business Details
Please skip to the next section if you're an Individual
Business Details
Please complete if you are a Sole Trader, Trust, Partnership, Company or Other
Trading Name
*
Australian Business Number (ABN)
*
Australian Company Number (ACN)
Date Established
*
DD slash MM slash YYYY
Contact Person
*
Phone Number
*
Nature of Business
*
Ownership
*
if more than two, please submit a separate form
Directors
Owners
Trustee
First Contact
Full Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Date of Birth
*
DD slash MM slash YYYY
Private Address
*
Street Address
Address Line 2
City
State
Postcode
Driver's Licence Number
*
Phone Number
*
Mobile Number
Second Contact
Full Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Date of Birth
*
DD slash MM slash YYYY
Private Address
*
Street Address
Address Line 2
City
State
Postcode
Driver's Licence Number
*
Phone Number
*
Mobile Number
Terms and Conditions
Terms and Conditions
*
I certify I have read all the terms and conditions attached at https://www.charactercabinets.com.au/terms-and-conditions/
By ticking this box, I agree to Character Cabinet's terms and conditions
Agreement
*
I certify that the above information is true and correct and that I accept the supply of credit by Character Cabinets (if applicable). I have read and understand the TERMS AND CONDITIONS OF TRADE (overleaf or attached) of Southshore Pty Ltd T/A Character Cabinets which form part of, and are intended to be read in conjunction with this Client Information Form and agree to be bound by these conditions. I authorise the use of my personal information as detailed in the Privacy Act clause therein. I agree that if I am a director/shareholder (owning at least 15% of the shares) of the Client I shall be personally liable for the performance of the Client’s obligations under this contract.
By ticking this box, I agree to Character Cabinet's agreement
Signed
*
Please write your full name
Position
*
Comments
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*
Friend/Colleague
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Other (Please explain)
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*
Email
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