Drainlayers Association Rotorua | Rawlinson Plumbing & Gas Ltd

Terms of Trade

Please complete all sections and read the Terms and Conditions of Trade overleaf or attached.
This is a Client Information Form under the Construction Contracts Act 2002. Please read clause 21 on the reverse

Full or Legal Name:

Physical Address:

Post Code:

Billing Address:

Post Code:

Email Address:

Phone No:

Fax No:

Mobile No:

Personal Information: (please complete if you are an Individual)

DOB

Driver’s Licence No:

Business Details: (please complete if you are a Sole Trader, Trust, Partnership, Company or Other – as specified)

Trading Name:

GST No: (if applicable)

Company Number:

Date Incorp. (current owners):

Contact Person:

Phone No.

Nature of Business:

Directors / Owners / Trustee: (if more than two, please attach a separate sheet)

(1) Full Name:

D.O.B.

Private Address:

Postcode:

Driver’s Licence No:

Phone No:

Mobile No:

(2) Full Name:

D.O.B.

Private Address:

Postcode:

Driver’s Licence No:

Phone No:

Mobile No:

I certify that the above information is true and correct and that I accept the supply of credit by the Contractor (if applicable). I have read and understand the TERMS AND CONDITIONS OF TRADE (overleaf or attached) of Rawlinson Plumbing & Gas (2022) Limited 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.

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Burst pipes and drain blockages can happen when you least expect them to, and when they do, you need a good plumber you can depend on. Call Rawlinson Plumbing & Gas Ltd for emergency plumbing, drain cleaning and gas servicing.

Terms of Trade

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Rawlinson Plumbing & Gas Ltd 14 Davies Street, Mangakakahi, Rotorua 3015

(07) 348 8661

[email protected]

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