Business details form

BUSINESS DETAILS

Business name :

Contact name:

Email address:

Address details (location and postal address) :
Business phone number
Alternative phone number (eg mobile)
Fax
ABN
ABOUT YOUR BUSINESS
Industry:
Business Structure:
How long have you been in business?
Number of employees (doesn't need to be exact):
Licences/accreditations/qualifications/awards:
In one sentence describe your company:
If you had to describe your business in five (5) words, what would they be? (eg computing, plumbing) 1.
2.
3.
4.
5.
What categories do you list your business under in the yellow and white pages?

Do you get much repeat business?

 Yes No
What sets you apart from your competitors?
Who are your main competitors: 1.
2.
3.

Any additional information?