Contractor Membership Application CCF Tasmania’s Contractor Membership is suitable for a person or company undertaking work as civil construction contractors in the civil construction industry, including providers of hire equipment with operators. Name of Organisation/Company(Required)ABN/ACN(Required)Physical Address(Required) Street Address Address Line 2 Suburb State Postcode Postal AddressPlease enter your postal address if different from your physical address Street Address Address Line 2 Suburb State Postcode Business Phone Number(Required)Email(Required) The Proprietor/Partners/Directors are:(Required)Primary Contact(Required)This person will be responsible for voting and constitutional rights and will have access to the member portal. First Name Last Name Email(Required) Phone(Required)APPLICATION SUPPORTPlease list current CCF Tasmania Contractor Members that can provide a reference to support this application.Proposers Name(Required) First Name Last Name Company(Required) Proposers Name(Required) First Name Last Name Company(Required)ADDITIONAL CONTACT DETAILSAdditional contact (person who will be contacted in relation to events, information, and member visits):Name(Required) First Last Email(Required) Phone(Required)FINANCE CONTACTName(Required) First Last Email(Required) Phone(Required)BUSINESS DETAILSNUMBER OF ADMINISTRATION EMPLOYEES(Required)NUMBER OF FIELD EMPLOYEES(Required)TOTAL(Required)ANNUAL BUSINESS TURNOVER(Required)INSURANCESAs a member of CCF Tasmania it is a requirement that your business maintains appropriate insurance cover.InsurancesPublic Liability Insurer(Required)Public Liability Limit(Required)Public Liability Policy Number(Required)Public Liability Expiry Date(Required) Workers Compensation Insurer(Required)Workers Compensation Policy Number(Required)Workers Compensation Expiry Date(Required) DeclarationMy declaration(Required)I hereby apply to be admitted as a member of The Civil Contractors Federation Tasmanian Ltd Branch and, if admitted, undertake to abide by the rules and constitution of the Federation, as amended from time to time, and also by any regulations made by the Board of Directors with the rules. I agree to the rules and constitution of CCF Tasmania.NAME OF PERSON SUBMITTING FORM(Required) First Last Phone(Required)Position(Required)Date form submitted(Required) All personal information you provide in this form will be used by CCF and selected 3rd parties in accordance with our Privacy Policy, which can be accessed on our website www.ccftas.com.au/privacy and a copy can also be obtained by calling us on (03) 6159 6157 or by emailing us at ccftas@cccftas.com.au by providing your personal information, you agree to such use.By virtue of your application, you will have dual membership of CCF Tasmania Ltd and the Civil Contractors Federation Registered Industrial Organisation.
