Business Register

Company Contact Details

Business Name:

Street Address:

Suburb:

Postcode:

Postal Address:

Suburb:

Postcode:

Phone:

Fax:

Mobile:

Email:

Web Site:

Chief Executive and Management Contacts
(For example: Managing Director, Operations Manager, Marketing & Sales Manager, Accounts Manager)

Name:  

- Title:

Name:

- Title:

Name:

- Title:

Name:

- Title:

Name:

- Title:

Name:

- Title:

Please state the number of full-time equivalent staff working in your company including management and any working owner managers.
(For example: 5 full-time staff and 2 part-time staff totals 6 full-time equivalent staff.)

Number of Staff:

Over the past year what proportion of your company’s total sales (revenue) was derived from the following markets.

Geelong/Surf Coast:

 Melbourne:

 Rest of Victoria:

 Interstate:

 Overseas:

Total:

Last year what proportion of your company’s materials (supplies) were bought from the following areas.

Geelong/Surf Coast:

Melbourne:

Rest of Victoria:

Interstate:

Overseas:

Total:

Which of the following best describes the organisational structure of your company?

 Please select one:

List the names of any associated companies or parent companies

 List:

Does your organisation hold accreditation under a Quality Accreditation System?
(For example: AS3901, AS3902)

 Please Select One:

Does your organisation hold any licence agreements?

 Please Select One:

NoYes - If yes please specify:

Please detail (briefly) the history of your organisation.

Details:

Did your company directly export goods overseas last year?:

Is your company consisdering entering an overseas export market over the next two years? 

YesNo
If yes - Please specify the countries you may consider exporting to:

Did your company directly import goods from overseas last year?