Business Registration Form NAME AND CONTACT DETAILS * First Name Last Name Email * Phone * (###) ### #### BUSINESS DETAILS Business Name * ABN * Business Address Business Type * Sole Trader Not for Profit Corporation Partnership Other Business Description Website http:// QUESTIONS 1. Are you a member of Joombarn-buru Aboriginal Corporation? Yes No 2. Does your business primarily operate in the West Kimberley area? Yes No 3. Is your business majority owned and controlled by Joombarn-buru Traditional Owners? Yes No 50/50 4. Would you like your business contact details to be listed on the Joombarn-buru website? Yes No AGREEMENT CONFIRMATION By submitting this registration, I confirm that I have read, understood, and agree to the following: * Registering my business does not guarantee work or contracts through JBAC and/or other organisations. JBAC will not be involved in commercial negotiations between businesses and their clients or contractors. These remain the responsibility of the business owner. JBAC accepts no liability for any loss or damage arising from inclusion on the Register or from dealings between registered businesses and third parties. Any concerns or disputes between a business and its clients must be resolved directly. JBAC retains the right to determine business eligibility for inclusion on the Register. Registration is free, and there are no ongoing fees. If my JBAC Membership ends, my business will be removed from the Register. All businesses listed are expected to act in good faith and respect confidentiality and commercial-in-confidence expectations. I agree to the above terms and conditions. Name * First Name Last Name Date Completed * MM DD YYYY Thank you!