I hereby declare that the information provided within this application form is true and correct to the best of my knowledge and belief. I understand that any willful dishonesty or attempt to mislead will render for refusal of this application.
I understand that submission of this application does not guarantee acceptance as an Insurance Builders 4 U Approved Contractor.
By submitting this application I understand and authorise Insurance Builders 4 U. to carry out the due diligence aspects required including (if required) a company credit check.