Register - Bricks + Agent

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First name

Last name

Mobile number

Password

Confirm password

I agree with the terms and conditions

1. Tell us about the services you provide ?

Once you save your profile with a specified country you can no longer change it.

Select your country

What service(s) do you provide?

What is your location? (Type to get suggestions) Or

2. Your account details ?

First Name

Last Name

Mobile Phone Number

Home Phone Number

Office Phone Number

Upload your profile photo.

Add Image

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Business name

Callout Fee: $

Rate: $

Let customers know about all the services that you provide

3. Additional information ?

List any external sites such as facebook pages or review sites that represent your business

Do you have a licence? Yes Not Required

Do you have insurance?

Yes Not Required

Quotes from BizCover ?

Insurance expiry date

Public Liability ($)

Professional indemnity ($)

Upload Insurance document/s for verification purposes.

Add insurance document

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Share license and insurance documents with others

Upload some Pictures, Videos or Documents to help people learn more about you and your services.

Add Attachment(s)

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Upload your profile video

Add videos

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Banking Information ?

BSB

Account Number

Account Name

What is your Address

Banking Information ?

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Banking Information ?

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Delete

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Suburbs in range

Insurance notice

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