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LIAWA Application Form - Full Member (Landscape Architect / Designer)

Businesses offering Landscape Designing services only. No Project Management nor Construction services offered.

Logo, LIAWA, landscaping, industry, WA, Perth,
Office Use Only

Date received                      _____________________________

Approved by Management Council of LIAWA

Date       ______________________________

Signature   ______________________________

______________________________

Name of Management Council Representative (please print)

Membership Number     _____________________

LIAWA Inc.

PO Box 9081 Nicholson Road

Subiaco WA 6008

Mobile 0438 523 855 

Email:        info@landscapewa.com.au

Website:    www.landscapewa.com.au

 

APPLICANT DETAILS

Please complete the main contacts, and business details for this section

  • Business or Company Name *
  • ACN / ABN *
    please enter digits without spacing
  • Please upload the Business Registration certificate *
  • Description of Business *
  • Number of Years of Business Operation in the Landscaping industry *
    please enter digits without spacing
  • Website Address
  • Business / Company Location Address *
  • Business Postal Address *
  • Business Landline *
    please enter digits without spacing
  • 1st Director's / Manager's Firstname *
  • 1st Director's / Manager's Surname *
  • Qualifications & Work Skills *
  • 1st Director's / Manager's Email *
  • 1st Director's / Manager's Mobile Number *
    please enter digits without spacing
  • 2nd Director's / Manager's Firstname
  • 2nd Director's / Manager's Surname
  • Qualifications and Work Skills
  • 2nd Director's / Manager's Email
  • 2nd Director's / Manager's Mobile Number
    please enter digits without spacing
  • FINANCIAL AND DOCUMENTATION
  • BANKRUPTCY / FINANCIAL INABILITY Have you, any partner or director committed an Act of Bankruptcy or been a director or had management of a company which had its affairs placed under the control of another due to the financial circumstances of the company *
  • An application fee of $275.00 (GST incl) applies at the point of lodging your application and would be non-refundable
  • INSURANCE - Supporting Docs to be submitted - Workers' Compensation, Professional Indemnity, Public Liability or any others applicable *
  • MEMBERSHIP FEE
  • Membership year July 2017-June 2018. Pls indicate size of your business. LIAWA membership includes the Waterwise Program for your business to be listed as Waterwise Program members - to be completed within 3 mths of membership approval. *
  • REFEREES
  • Client Referee Contact Details + Address of Project *
  • Trade / Supplier Referee Contact Details *
  • LIAWA Member as Referee, if available
  • LANDSCAPE INDUSTRIES ASSOCIATION OF WA REQUIRES ALL MEMBERS TO MAINTAIN APPROPRIATE INSURANCES TO PROTECT THE GENERAL PUBLIC & TO PROTECT YOUR BUSINESS. MEMBERS OF LIAWA OPERATE BY A SET OF AGREED VALUES FOR THE BENEFIT OF THE BUSINESS AND THE LANDSCAPING
  • In making this application I/we hereby authorise the Landscape Industries Association of WA Inc. Management Council to ascertain acceptability for membership. *

ACKNOWLEDGMENT OF YOUR APPLICATION FOR LIAWA MEMBERSHIP IS WITHIN THREE (3) WORKING DAYS OF SUBMISSION

THANK YOU FOR JOINING THE PROFESSIONALS in SHAPING THE FUTURE OF LANDSCAPING IN WA

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