BICB Membership Application 1 Welcome2 You3 Applicant4 Business5 Owner 16 Owner 27 Owner 38 T&C 19 T&C 210 Privacy11 Submit Welcome to the BICB online membership application formThis is a multi-page form. Please monitor your progress via the navigation bar at the top. All details are "required" so please complete each field to progress to the Next page. The final page of the form allows you to calculate the appropriate membership fees. After submission of the form, we will contact you within 2 business days. Please enter your detailsDetails entered here are those of the person filling in this form. All communication regarding this membership application willuse these details.Contact Name* First Last Email* Phone*Consent* I confirm that I have authority to act on behalf of the entityapplying for membership.* Details of ApplicantCorporate Applicants must complete this sectionCompany Name*Registered Office Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code ACN*ABN* Business DetailsBusiness Name*Postal Address* Street Address City State / Province / Region ZIP / Postal Code Trading Address* Street Address City State / Province / Region ZIP / Postal Code Type of Business*Business Phone*Business Fax Details of Proprietors/Directors Please provide full name, address and title of all proprietors of a business, or if a company, details of directors.Proprietor/Director 1Name Director 1* First Last Address Director 1* Street Address City State Post Code Owner Type 1*Sole TraderPartnerDirectorADD another Proprietor / Director ADD another Proprietor / Director Details of Proprietors/Directors Please provide full name, address and title of all proprietors of a business, or if a company, details of directors.Proprietor/Director 2Name Director 2 First Last Address Director 2 Street Address City State Post Code Owner Type 2Sole TraderPartnerDirectorADD another Proprietor / Director ADD another Proprietor / Director Details of Proprietors/Directors Please provide full name, address and title of all proprietors of a business, or if a company, details of directors.Proprietor/Director 3Name Director 3 First Last Address Director 3 Street Address City State Post Code Owner Type 3Sole TraderPartnerDirector Terms & Conditions (1 of 2)In making application for membership of the Building Industry Credit Bureau, I acknowledge that I have read each of the following statements (the Terms and Conditions) and that I am in a position to confirm that the company will abide with each one.Agreements 1* Agree to furnish to BICB, for the confidential use of BICB, a list of sums owed at the end of each month by our Commercial Customers which includes builders, sub-contractors, resellers and other such users of building materials, with whom I/we trade, and such other as BICB may require from time to time in relation to debtors and I/we will supply any such information in such manner as BICB may from time to time determine for its effective operation and fulfilment of its objectives. Agree to take all reasonable care to prevent any unauthorised person having access to any documentation of information supplied by BICB to me/us by placing or reposing the same in the keeping of a responsible person who shall divulge their contents. Shall keep with complete secrecy all confidential information entrusted to me/us and shall not use or attempt to use any such information in any manner which may injure or cause loss either directly or indirectly to BICB or any of its members. Terms & Conditions (2 of 2)Agreements 2* Shall continue to observe our undertakings of confidentiality after we cease to be a member of BICB without limit in point of time. Agree that any information supplied by BICB or any of its members is to be used only for the purpose of risk assessment and no other purpose, and that BICB and its members are not engaged in rendering legal, accounting professional or other advice or services. Agree that in furnishing information to me/us from time to time, BICB can accept no responsibility for errors, omissions or possibly misleading statements or information or for any action taken by me/us as a result of such communicated material. Agree to pay the joining fee and annual subscription as prescribed from time to time (including GST where applicable). Authorise the entry of my/our name on the Register of Members. PrivacyPrivacy is a major area of concern for all members of BICB. The data is only useful when all members make all of their data available, and members will only do that if they can be assured that all members will abide by the same strict protocols of privacy. For this reason, your application can only be considered after you have downloaded the Declaration of Privacy available on this page; signed it; and returned it through the File Upload facility which is available in two separate places on this website:the Thank You page that you will be directed to after submitting this formthe Contact page Download Submit FormPlease select from the drop down menu, the best description of your company based on the number of customers in your Trial Balance. You will then see an indication of annual membership subscription. The Setup Charge is a once only charge.Fee Category*Select which best describes your companyTrial Balance Size < 300 customersTrial Balance Size < 800 customersTrial Balance Size < 1200 customersTrial Balance Size > 1200 customersSetup Charge Price: $ 250.00 Annual Subscription Price: $ 0.00 GST $ 0.00 Total of First Invoice (inc GST) $ 0.00 The Annual Membership Subscription will be set by negotiation.You will be contacted shortly by the Executive Director.When you select "Submit" button, your application will be processed by the BICB team. We will contact you within 2 business days. You will now be directed to a Thank You page where you can upload the completed Privacy Declaration.NameThis field is for validation purposes and should be left unchanged.