OnRequest Membership Application

OnRequest Membership Application: 1516446619

Introduction

OnRequest New Zealand Ltd is primarily a sales and marketing company seeking to establish a nationwide network of professional and progressive service providers in the automotive repair industry. Their role will be to service the needs of a range of clients and additionally act as distributors and applicators within a described territory, with respect to the range of products and services that become applicable and available from time to time.

It is our clear intent to develop a client base to utilise and support the services provided by our providers. Therefore some flexibility is required around the terms of our License to match their needs. Accordingly our License is annually renewable on it’s anniversary, and may be subject to renegotiation or adjustment of any aspect.

The OnRequest overriding philosophy is all business activity must be based on mutually beneficial arrangements with entities or individuals in trusted relationships for sustainable long term profitability and growth.

General Details

Trading Name:

Company Name:

Physical Address:

Suburb:

City:

Post Code:

Phone:

Mobile:

Email:

Web address:

Days Of Operation:

Hours Of Operation:

Sole trader:

Yes No

Partnership:

Yes No

Business operating since:

Owned since:

Manager Name:

Manager's Mobile:

Foreman Name:

Foreman's Mobile:

Prime Contact Name:

Prime Contact's Mobile:

Company Incorporation Details

Managing Director:

Co. Director:

About Your Business Operation:

General Description of Business and Type of Work Carried Out

Describe Business:

Do you have the following items / services: (please supply details)

Full time office person:

Number of part time staff:

Trade qual. panelbeaters:

Trade qual. spraypainters:

Number of Management:

Chassis Alignment System:

Measuring System:

Make Of Bake Oven:

Quality Assurance System:

Trade References and Contact Phone Numbers – please include one Motor Assessor

Reference 1:

Reference 2:

Reference 3:

Do you have other places of business, and where are they located?

Other Places Of Business:

Please make any additional relevant comments adding value to your application below

OtherComments:

Please add photos of your premises into the following 6 categories:

Conclusion:

The comments made in this document are true and correct to the best of my knowledge.
I/we understand that this information is collected for the use of OnRequest New Zealand Ltd in the establishment of a network of Repair Centres and agree that non-confidential information may be used in the promotion of this business concept.
I/we agree to allow reasonable enquiries to be made in regard to the business information I/we have provided and accept that additional inquiries may be made into our suitability to become a member.
I/we accept that OnRequest New Zealand Ltd is under no obligation to accept this application and agree to hold harmless OnRequest New Zealand Ltd if this application is declined.

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