Company Name:
Address Line 1:
Address Line 2:
Address Line 3:
City:
Post code:
Telephone Number:
Fax Number:
Email Address:
Confirm Email Address:
Contact Name:
Mobile Number:
Company Registration no (if applicable):
Number of years trading:
Number of employees:
Vat Number (if applicable):
Names of directors or partners:
Name of accountants:
Address of accountant: (Full postal Address)
Accountant postcode:
Accountant telephone number:
Accountant fax:
Accountant email address:
Accountant contact name:
Name of insurance broker:
Address of insurance broker: (Full postal Address)
Insurance broker postcode:
Insurance broker telephone number:
Insurance broker fax:
Insurance broker email address:
Insurance broker contact name:
Details of Employers Liability Insurance Cover:
Insurance Company:
Address of insurance company: (Full postal Address)
Insurance company postcode:
Insurance company policy number:
Insurance company telephone number:
Insurance company fax:
Insurance company email address:
Details of Contractors All Risks Insurance Cover:
Insurance Company:
Address of insurance company: (Full postal Address)
Insurance company postcode:
Insurance company telephone number:
Insurance company fax:
Insurance company email address:
We require the names and addresses of three referees who must be clients that you have worked for in the past twelve months. We require a brief description of the work carried out, the agreed contract price, the contract period and the completion date. None of the referees can be friends or relatives of you or any director or partner of the applicant:
First Referee
Name of Referee:
Address of referee:
Postcode:
Telephone number:
Description of work carried out:
Contract price: £
contract period:
Completion date: (dd/mm/yyyy)
Second Referee
Name of Referee:
Address of referee:
Postcode:
Telephone number:
Description of work carried out:
Contract price: £
contract period:
Completion date: (dd/mm/yyyy)
Third Referee
Name of Referee:
Address of referee:
Postcode:
Telephone number:
Description of work carried out:
Contract price: £
contract period:
Completion date: (dd/mm/yyyy)

I confirm that all of the above information is correct and I understand the following:
  1. All of the above referees and other contacts mentioned in this application form will be contacted.
  2. I/We attach a cheque payable to “The Guild of Builders and Contractors” for £350.00. This sum includes the joining fee of £50.00 and the first year’s subscription of £300.00 both of which include VAT. I/We understand that the first year’s subscription of £300.00 will be returned if this application is not accepted.
  3. I am required to prove continuing insurance cover annually.
  4. I am required to provide three additional referees each year.
  5. I will adhere to the code of conduct Trusted Member.
  6. I understand that I may be liable to be prosecuted if any of the information given above is untrue.  
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