Registration Form

Welcome to the City of Gold Coast Contractor Portal. Complete your Safety Induction after you register.

I am a Contractor

I am a Business

Please complete your business registration form

Business Details

Business Name *

Please enter the legal name of your business

Business ABN *

Please provide your Business ABN/ACN or another relevant company registrar ID

Business Address *

Business Suburb *

Business State *

Business Postcode *

Authorised Representative *

I confirm that the information above is valid, correct and that I am authorised to register this business/company to this site on it's behalf.

Role

Title

First name *

Last name *

Address (Line 1)

Address (Line 2)

Suburb / Town

City

State / County

Post code / Zip code of where you live

Country

Phone

Mobile

Email address *

Username *

Password*

Confirm New Password *

Terms & Conditions *

I have read and agree to the terms and conditions.

Security Verification *