If you have any problems with submitting the Employment Application Form,
please feel free to contact US on: (02)9601-4188 or via E-mail adminservices@flowerpower.com.au


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Please note that * indicates mandatory fields.

PLEASE NOTE: SERVICES ARE ONLY AVALIABLE IN NSW.

Are you a GLC member?*
 No       Yes

GLC Number*


Surname*


Given Names*


Address


Postcode





Phone:Day*


Phone:Evening


Phone:Fax


Phone:Mobile


Email address:*


Are you
 Male       Female

Date of birth
     
Which store are you most likely to shop at?*




Nominate best time to be contacted by the Sealing Contractor:

The Sealing Contractor will visit your home at the time pre-arranged with you to inspect and access the area and advise you on the product and application best used to attain the finish you desire. A written quotation will then be prepaired and returned to you within ten (10) working days for your final approval. This quotation will be free of charge.

To enable the Sealing Contractor to best prepare for a visit to your home, could you please answer the following questions (Tick the correct answer or answers).

Is your surface stained with any or all of the following?

 Car Grease/Oil
 Salt (white marks)
 Mould
 Paint
 BBQ Grease
 Tyre Marks
 Food/Wine/Soft Drink Stains
 Graffiti
 Tree Sap/Leaf
 Children's Texta/Crayon/Glue
 Rust
 Cigarette/BBQ Ash Burns
 Chewing Gum
 Previous seals or coatings

If other describe:


Does your job need anti-slipping?

 Yes
 No

Can the job be accessed by any of the following?

 Truck
 Wheelbarrow
 Narrow Walkway
 via internal Property Only

Has the concrete/paved area faded?

 Yes
 No

Describe the area involved?

 BBQ Area
 Paving/Stencilcrete
 Driveway
 Patio
 Garden
 Balcony
 Natural Stone
 Concrete
 Pool Area
 Fencing
 Retaining Wall
 Timber Decking
 Stairways
 External Area
 Slate

If other describe:


SYDNEY - GARDEN CENTRES OPEN 7 Days 8.00am – 5.30pm (CLOSED ON XMAS DAY)
• LANDSCAPE CENTRES OPEN 7 Days 7.00am - 5:30pm

MELBOURNE - GARDEN CENTRES OPEN 7 DAYS 8am – 5.30pm (CLOSED ON XMAS DAY)

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