Contact form 1

Name (required)
[text* your-name]

Email (required)
[email* your-email]

Phone
[tel tel-861]

Area
[select menu-469 “North Side” “Southside” “Logan” “Gold Coast” “Ipswich” “Other”]

Skills
[select menu-44 “Metal Roofing” “Tiled Roofing” “Painting” “Carpentry” ” Multi Skilled” “Labourer” “Other”]

Have Transport

[radio radio-950 “Yes” “No”]

License number of you have license:
[text text-132]

Have public liability insurance

[radio radio-292 “Yes” “No”]

Registered
[select menu-484 “Company” “ABN” “Sole Trader”]

Have working at height ticket

[radio height-ticket “Yes” “No”]

Are you good with customers and talking to people?

[radio radio-418 “Yes” “No”]

Other notes about yourself that you would like us to know
[textarea your-message]

[submit “Send”]

1
RE: Queensland Roofing Job Application
Queensland
leadsqueenslandroofing@gmail.com
Contact No : [tel-861]
Area : [menu-469]
Skills : [menu-44]
Have Transeport : [radio-950]
License number : [text-132]
Have public liability insurance : [radio-292]
Registered: [menu-484]
Have working at height ticket : [height-ticket]
Good with customers : [radio-418]
Message Body:
[your-message]

Thank you for your enquiry with Queensland Roofing. This is to confirm we have received your email and will respond in due course.
—
This e-mail was sent from a contact form on Queensland (http://dev.magnigenie.com/roofing)
Reply-To: sales@queenslandroofing.com.au

1

1
Queensland Roofing Job Application
[your-name]
leadsqueenslandroofing@gmail.com
From: [your-name] <[your-email]>
Subject: Queensland Roofing Job Application

Contact No : [tel-861]
Area : [menu-469]
Skills : [menu-44]
Have Transeport : [radio-950]
License number : [text-132]
Have public liability insurance : [radio-292]
Registered: [menu-484]
Have working at height ticket : [height-ticket]
Good with customers : [radio-418]
Message Body:
[your-message]

—
This e-mail was sent from Employment form on Queensland (https://www.queenslandroofing.com.au/employment/)
Reply-To: [your-email]

1

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