Australian Achiever Awards Entry Form
Administration Fee $270.00
Entrant's Details
Type of Business/Category*
Business Name*
Owner/Managers Name
Primary Contact Name*
Address*
Suburb*
State*
New South Wales
Victoria
Queensland
Tasmania
ACT
Western Australia
Northern Territory
South Australia
Post Code*
E-mail Address
Mobile Number
Phone Number*
Fax Number
Website Address
Customers/Clients Details
I am providing names and telephone numbers of four customers/clients (including one substitute name) and one trade supplier who have agreed to provide a verbal Reference for my business.
Customer/Client 1
Contact*
Telephone Number*
Business Name
Customer/Client 2
Contact*
Telephone Number*
Business Name
Customer/Client 3
Contact*
Telephone Number*
Business Name
Customer/Client 4
Contact*
Telephone Number*
Business Name
Trade Supplier
Contact Name*
Telephone Number*
Business Name*
I confirm these people are aware that the Achiever Office will telephone them on the number provided during business hours of 9.00am to 5.00pm in order to document the References for judging.
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We were truly delighted last week to receive the results of the 2007 Australian Achiever Awards for Victoria's Finance and Insurance Services category ..
Graham Stuart, Stuart & Whitelaw CPA
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