Text of STRETCH WRAP BUBBLE WRAP & fOAM WAREHOUSE TAPES … · WAREHOUSE TAPE 6 Packaging Tape in Hand...
TAPES: DOUBLE SIDED
TAPES: SINGLE SIDED
PROTECTIVE WRAP & VOID fILL
BUBBLE WRAP & fOAM
CUSTOM PRINTED TAPE
Let us look after you..
Personalised Service We pride ourselves on looking after each of our customers. Your sales consultant will visit you at an agreed frequency, and if you need help or have a problem, they will be there to assist.
Extensive Product Range Being importers and distributors we can be your one stop shop for adhesive tapes, packaging materials and associated warehouse products. Even if we do not stock a product, we can source it for you.
Competitive Prices Buying direct from the importer will save you money.
Reliable Delivery Next day delivery on a wide range of stock lines.
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BACKED UP WITH 25 YEARS
Qualtape Australia Pty Limited
For the same reasons our current customers do...Why?
STRETCH WRAP 4Hand Rolls, Machine Rolls, Cast and Blown, Spiral Wrap, Top Sheets, Bundling Film
ADHESIVES 21Hot melt, PVA, EVA and Solvent Contact
BUBBLE WRAP & fOAM 5 Standard, Speciality, Protective Foam, Biodegradable, Bubble Bags, Slitting and Perforating available
WAREHOUSE TAPE 6Packaging Tape in Hand Rolls and Machine Rolls, Masking, Printed, Fragile, Filament, Floorlane Marking, Antislip, Pallet Strapping, Gummed Paper
CUSTOM PRINTED TAPE 8PVC and Polyproplyene - Your Company Logo, Message, Details; etc, Perforated and Laminated Labels
PROTECTIVE WRAP & VOID fILL 9 Corrugated Board, Kraft Paper Rolls, Butchers Paper, Tissue Paper. Paper, Pillow & Chip Void Fill
STRAPPING 10Polypropylene, Steel, Polyester, Poly Woven, Tools, Buckles and Seals
DESPATCH PRODUCTS 12Padded Bags, Enclosure Slips, Labels: Custom Printed and Stock Prints
Code Description Roll PWTS Opaque HDPE 1680/1680 250 PWTSBK Black HDPE 1680/1680 250 PWTSLD Clear LDPE 1680/1680 250 PWTSLDBK Black LDPE 1680/1680 250
SPIRAL WRAPNarrow machine length rolls for use in spiral wrapping machines Code Description Gauge Pallet PW20MQ600/240 240mm x 1630M Clear 20um 100
CAST: JOYNA BRANDJoyna cast film has been formulated to provide lower cost pallet wrapping by using less film per wrap. The special formulation provides:• High Strength • High Clarity • Excellent tack
Code Description kg load Ctn PW20HQ600 500mm x 450M Clear 600kg 4 PW25HQ800 500mm x 400M Clear 800kg 4 PW23HQ700BK 500mm x 400M Black 700kg 4
BLOWN• Suitable for wrapping sharp corners • High level of tack • Robust film Code Description Gauge Ctn PW20 500mm x 450M Clear 20um 4 PW25 500mm x 400M Clear 25um 4
LIGHT WRAPHigh Performance Resin. Advanced resin technology provides high strength with thinner gauge film.Uses less plastic with a similar performance to a conventional 20um film. Minimal effort required to apply. Code Description Gauge Ctn PW12MAX 500mm x 400M Clear 12um 6
CAST: JOYNA PREMIUM• Provides High Clarity • Quiet Unwind • High Stretch
Code Description kg load Pallet PW17MQ500 500mm x 1920M Clear 500kg 50 PW20MQ600 500mm x 1630M Clear 600kg 50 PW23MQ700 500mm x 1420M Clear 700kg 50 PW25MQ800 500mm x 1305M Clear 800kg 50 PW23MQ700BK 500mm x 1200M Black 700kg 50
CAST: PREMIUM PLUS• Low wrap cost per pallet. • Less “necking” • Ideally suited to power pre-stretch machines • Secondary stretch (200%) • Quiet Unwind Code Description Gauge Pallet PW400PP 425mm x 2200M Clear 400kg 50 PW600PP 425mm x 1855M Clear 600kg 50 PW800PP 425mm x 1600M Clear 800kg 50
BLOWN:• Suitable for wrapping sharp corners • High level of tack • Robust film Code Description Gauge Pallet PW20M 500mm x 1800M Clear 20um 50 PW20MBK 500mm x 1800M Black 20um 50 PW25M 500mm x 500M Clear 25um 50 PW25MBK 500mm x 500M Black 25um 50
Dispenser - Code DSPW Light weight, sturdily constructed metal dispenser. Features rubber hand grips and film tension control *
Laminated & Speciality Products - Ask your sales consultant
for detailsKraft Laminated
Tissue LaminatedFoam LaminatedFoil Laminated
Void Fill Bubble
Slitting, Perforating and Custom Printing available.
STANDARD BUBBLE10mm Diameter Bubble
Code Dimensions Description BM10 1.5M x 100M Regular BM10/200 1.5M x 200M Regular BM10/2 1.5M x 100M Slit 2 x 750mm BM10/3 1.5M x 100M Slit 3 x 500mm BM10S 1.5M x 100M 3 Layer BM10HD 1.5M x 100M Heavy Duty BM10AS 1.5M x 100M Anti-static BM10R 500mm x 50M Regular BM10H 375mm x 50M Perf 400mm BM10HB 375mm x 50M Boxed
20mm Diameter Bubble
Code Dimensions Description BM20 1.5M x 100M Regular BM20S 1.5M x 100M 3 Layer BM20HD 1.5M x 100M Heavy Duty
OXO BIODEGRADABLEOxo-B contains a special additive, Reverte which will cause Oxo-B to ultimately biodegrade to CO2, H2O and biomass in landfill. Code Dimensions Description BM10/OXOB 10mm Dia 1.5M x 100M Regular BM20/OXOB 20mm Dia 1.5M x 100M Regular BM32/OXOB 32mm Dia 1.5M x 75M Light
AIRLITE RANGEAirlite bubble products have a unique nylon barrier which helps prevent air loss from the bubble under pressure.
Code Dimensions Description BSAEBUBBLE 1.4M x 115M 10mm Up to 70% Recycled Plastic BSAC50 1.4M x 100M 10mm BSAG100 1.4M x 115M 20mm
Standard Sizes and Made to order
Polyethylene foam provides padding and scratch resistance. Standard rolls and OXO-B biodegradable rolls
Code Dimensions Description PF0.5/1200/500 0.5mm 1.2M x 500M PF1/1200/100 1mm 1.2M x 100M PF1/1200/300 1mm 1.2M x 300M PF1/1200/500 1mm 1.2M x 500M PF2/1200/100 2mm 1.2M x 100M PF2/1200/150 2mm 1.2M x 150M PF2/1200/250 2mm 1.2M x 250M PF4/1200/100 4mm 1.2M x 100M
Up to 12mm thickness available
Polyethylene foam is available in other forms• Bag • Sheet • Edge Protection • Fruit & Bottle Sock • Adhesive • Cohesive
STOCK LABELSOrange Warning Labels 75 x 100mm•Fragile, •Top Load Only•Handle with Care •Glass with Care •This Way UpDangerous Goods Labels 100 x 100mm •Flammable Gas 2 •Flammable Liquid 3 •Misc Dangerous Goods
Kraft paper tape with water activated adhesive. Available in Plain paper and 3 way Reinforced Code Description CtnPT50GPT 50mm x 150M Plain 30PT72GPT 72mm x 150M Plain 20PT50GT3 50mm x 92M Reinforced 15PT72GT3 72mm x 92M Reinforced 10
GUMMED PAPER TAPE
fLOORLANE MARKING TAPE
High tensile polypropylene tape for bundling and pallet strapping. Special adhesive allows easy release from carton surface but sticks well to itself.
Code Description Ctn IN12PT 12mm x 66M Black 144 IN18PT 18mm x 66M Black 96
Two Way. High strength polypropylene tape reinforced with bi-directional fibreglass filaments. Code Description Ctn PT12FIL670 12mm x 45M 72 PT18FIL670 18mm x 45M 64 PT24FIL670 24mm x 45M 48 PT36FIL670 36mm x 45M 32 PT48FIL670 48mm x 45M 24
Heavy duty PVC with aggressive adhesive for use on Factory Floors and Sports Centres. Available in: Plain colours (AT8) - Black (BK), White (WH), Yellow (YEL), Red (RED), Blue (BL) & Green (GRN) : Diagonal Stripe (AT8S) -Yellow/Black (Y/B), Red/White (R/W) & Green/White (G/W) Code Description Ctn IN48AT8(COL) 48mm x 25M 24 IN48AT8S(COL) 48mm x 25M 24
Other widths available
One Way. High strength polypropylene tape reinforced with uni-directional fibreglass filaments. Code Description Ctn PT12FIL650 12mm x 45M 72 PT18FIL650 18mm x 45M 64 PT24FIL650 24mm x 45M 48 PT36FIL650 36mm x 45M 32 PT48FIL650 48mm x 45M 24
filament tape • one way
Automotive Grade where heat resistance & low residue are required. Solvent and water resistant. Code Description Ctn MK12J223Y 12mm x 50M 72 MK18J223Y 18mm x 50M 64 MK24J223Y 24mm x 50M 48 MK38J223Y 36mm x 50M 32 MK48J223Y 48mm x 50M 24
General Purpose with Natural Rubber adhesive Code Description Ctn MK18C16P 18mm x 50M 48 MK24C16P 24mm x 50M 36 MK36C16P 36mm x 50M 24 MK48C16P 48mm x 50M 24
filament tape • two way
Medium Grit for good traction on stairways, walkways etc Code Description Ctn IN48E3400CL 48mm x 20M Clear 1 IN48E3400FL 48mm x 20M Fluro Yellow 1 IN48E3400L 48mm x 20M Luminous 1 IN48E3400Y/B 48mm x 20M Yellow/Black Diag 1
Heavy Grit for High traction IN48E3500BK 48mm x 20M Black 1
Corn based loose fill chips. • Lightweight • Dustless • Static Free • Environmentally friendly • Compostable • Disposable in water • Hypoallergenic
Mini Pak’r You want to protect your goods during transportation? Mini pak’r is a small, easy to use system that allows you to produce air cushions on demand. You can choose from 5 different types of air cushions, for any kind of protection.
Mic-pak Code FP 400Ltr Bag
Styrene based loose fill chips. • Not affected by moisture • Dustless • Reusable • Hypoallergenic • Made from 50% recycled material • Chemically inert
Air Plus Mini AIRplus® machines are easily tailored to individual requirements, providing the perfect solution that integrates effortlessly into any packaging line. Fast, compact and portable, AIRplus® machines are extremely easy to operate and their small footprints and large production capacities fit easily into any packaging environment.
Single ply paper is crumpled to produce three dimensional void fill.
Paper is converted into padding material for cushioning and bracing applications.
Qualtape Australia stock a wide range of standard plastic products and are able to also custom manufacture to your requirements. Products are available in Low Density Polyethylene (LDPE), High Density Polyethylene (HDPE) and Polypropylene (PP).
Custom printing is available on most plastics (minimum order quantities apply).
LDPE Tubing custom made to required width and thickness.
Widths from 50mm up to 2440mm
Single Wound rolls of plastic in a range of widths and thicknesses.
PS100038 1000mm x 38um Clear LDPE
PS100050 1000mm x 50um Clear LDPE
PS100030PP 1000mm x 30um Clear PP (higher clarity)
Centrefold Sheet rolls fold out to double the width, commonly called Builders Film.
Stock rolls are 1M folding out to 2M and 2M folding out to 4M Available in Clear and Black
BF2CL/BK50 1M/2M x 50um x 200MBF2CL/BK100 1M/2M x 100um x 100MBF2CL/BK200 1M/2M x 200um x 500M BF4CL/BK1000 2M/4M x 50um x 100MBF4CL/BK200 2M/4M x 50um x 500M
Standard plastic bags available in LDPE, HDPE and PP.
Loose in cartons or Perforated on Roll
Virgin, food and remill grade resin
Press Seal bags in a wide range of stock sizes from 38mm x 50mm up to 380mm x 508mm.40um and 50um.
LDPE one way and two way shrink film made to order.
PVC and Polyolefin centrefold film suitable for tunnel and hood shrink machines.
PVC available in 19um and 25um. Roll widths from 250/500mm to 550/1100mm.
Polyolefin available in 15um and 19um. Roll widths from 205/410mm to 560/1120mm.
Resealable PP bags.
High clarity, low friction plastic bags with easy slip insertion.
The bag’s flap has resealable double sided tape attached.
Outlined below is Qualtape Australia’s core range of double sided tapes. Further speciality tapes are available. To ensure correct tapes are being used for your application, trialling is strongly recommended. Samples and specifications are available on request.
For name plates, trophies, paper slicing.
H2002 – 0.05mm thick H2005 – 0.12mm thick
For low surface energy surfaces: U1705 – 0.05mm thick U1712 – 0.12mm thick
ATG Q891 – Budget tape for paper to paper, print finishing, laminating.
AT545 – Premium general purpose. Mounting, name plates, trophies.
N530 – High performance. Blinds, rough textured surfaces.
H190 – Kikisui. Blinds, rough textured
U300 – Clear polyester with differential adhesive for clean remove (one side). Display, POS.
K5300 - Premium cloth with clean remove adhesive.
Acrylic adhesive coated directly onto release paper. TISSUE Non woven tissue soaked in acrylic adhesive.
Polyester or PVC film coated on both sides with acrylic adhesive CLOTH Woven cloth soaked in rubber adhesive.
fOAM Polyethylene foam coated with acrylic or rubber adhesive. High shear strength for mirror mounting, signs, point-of-sale (POS).
Si1811 – 1.15mm thick white
Si1822 – 1.75mm thick white
Si1831 – 3.2mm thick white
F164 – 1.15mm thick white Removable and
FAA08 – 0.8mm thick black. Outdoor use.
Tabs – White
- Permanent 1.15mm thick 12mm x 12mm x 800 12mm x 25mm x 400 25mm x 25mm x 400
- Removable 1.15mm 12mm x 25mm x 250 25mm x 25mm x 150
Post print production, POS.
6mm, 12mm & 19mmAvailable in regular, heavy duty & removable.
Fingerlift – Tissue tape with a release liner that is wider than the adhesive allowing easy peel.
AT1435 – Economy open weave cloth. Carpet tape, splicing.
AT5325 – Heavy duty for rough textured surfaces. Clean remove.
AT330 – Strong cloth. Clean removes for exhibition use.
AT1398 – High performance clear polyester with red poly liner. Acrylic bonding, signage, trim mounting
AT1397 – As per left only with paper liner
AT1392 – Cream PVC high performance. Assembly, signage, decorative strip.
High tack waterproofing and sealing SCRIM High tack Rubber or Acrylic adhesive supported by scrim reinforcement.
H666 – Rubber adhesive for bonding weather strip, gaskets, cloth and foam.
DSTFFR/5 – Removable
DSTFFS/5 – Secure (more aggressive than above and removable from gloss surfaces.)
Hot melt glue dots in dispenser box of 5000 DISPENSER Fixed length
M-1000 for use with tissue and filmic tapes.
Automatically dispenses from 5mm to 999mm lengths. Handles 7mm to 50mm widths.
Tenacious X400 (liquid) and X440 (aerosol) are both a special blend of hydrocarbons designed to clean and prepare surfaces prior to the application of tape.
The white X880 is of a non woven material for cleaning without abrading.The maroon X990 is for de-burring and etching low energy surfaces.
All double sided tapes are pressure sensitive. It is therefore important to apply an even pressure to the full width of the tape. A hand pressure roller helps achieve this rather than the imprecise application by hand.
Black: Automotive & general engineering, plastic and glass.
Testing is recommended to ensure compatibility with certain surface finishes.
Joyna PVC duct (joining & sealing) tape in silver lead free, Airconditioning, plumbing and building trades. 48mm x 30M
Foam sealant tapes are used for gap sealing, vibration dampening and weather sealing. Available in polyurethane, polyethylene, PVC and nitrile. Custom slit to specified width in a range of thicknesses.
Polyurethane Soft, easily compressible open cell foam for light weight applications such as weather sealing and acoustic insulation. Thickness: 3mm to 24mm.
Polyethylene Light closed cell foam providing excellent vapour seal with as little as 20% compression. Will take compression set at 50%. Not suitable for opening/closing applications. Thickness: 3mm to 10mm.
PVC Closed cell. Excellent conformability for gap filling and sealing out vapour, dust and light. Available in a range of densities. Thickness: 1.6mm to 19mm
Nitrile Excellent ozone, weathering, abrasion, aging and chemical resistance and are specially formulated to withstand wide temperature ranges. Best resilience to abrasion. Ideal for opening/closing applications such as switchboard cabinets. Thickness: 3mm to 12mm.
Plain and reinforced foil tapes for the air-conditioning and refrigeration industries.
Protection films are suitable for protection of newly manufactured surfaces from scratches and dirt, particularly when in transit. Most are clean remove after use. Available in polyethylene and PVC with a range of thicknesses, levels of adhesion and colours.
Protection films are available in log roll form which can also be slit to required widths on request.
AT33 Black 110um UV resistant for window frames, shopfitting and construction.
Si-32 Clear 50um Low/Med Tack for plastics, painted steel and glass. Particularly suitable for roll forming of colorbond.
Si-34 Transparent/Blue 100um Med Tack for plastics and painted surfaces.
Si-36 Transparent/Orange 50um High Tack for “MasknPeel” applications, protection of textured finishes, benchtops, furniture and in narrow widths.
Si-93 White/Black 80um Low/Med Tack coextruded for stainless steel and other highly polished/outdoor finishes.
Si-130 Clear 150um High Tack for heavy duty protection. Also suitable for general purpose repair and joining.
AT44 Black 130um Low tack for deep draw stainless steel fabricationAT45 Trans/Blue 130um UV and abrasion resistant for glass etching.AT66 Colour Range 130um Medium Tack UV and abrasion resistant
for window frames, aluminium fabricators and marine masking. Variety of surfaces.
POWDER COAT MASKING
HOOK & LOOP
Teflon tape with silicone high temperature adhesive provide an excellent heat resistant surface for a diversity of industrial environments. In applications such as packaging machinery, chute liners, pressing equipment and heat sealers.
Premium grade amber coloured Kapton® (CT961) performs to a temperature of 260 degrees C and is suitable for electronic soldering.
Hight Performance Polyester (CT983) green coloured mask performs to 205 degrees C and is suitable for aluminium and glass coatings.
Sew On 25M rolls available in black, white and beige. Widths of 20mm, 25mm, 50mm & 100mm.
Self AdhesiveCoated with either rubber or acrylic based adhesive. 25M rolls available in black or white. Widths of 20mm, 25mm and 50mm.
Ultra High Molecular Weight film consists of an abrasion resistant clear polyethylene film which provides a high slip surface. Ideal for guide rails and chutes, sliding doors, drawers and assembly tables.
Flame retardant, flexible and with good aging characteristics. Complies with AS1621-1988.
Adhesive Dots25M rolls with dot diameter of 22mm (x 1800 dots) and 15mm (x 3200 dots). Available in black and white.
Cut to length service available for Sew On and Self adhesive.
All of the above are stock lines. Other Sheffield & Olfa products available on request.
KNIVES & BLADES
HIGH QUALITY KNIVES & BLADES (JAPANESE)
Code Size (mm) Qty/Ctn UNITAG1 35 x 70 1000 UNITAG2 41 x 82 1000 UNITAG3 48 x 96 1000 UNTAG4 54 x 108 1000 UNITAG5 60 x 120 1000 UNITAG6 67 x 134 1000 UNITAG7 73 x 146 1000 UNITAG8 80 x 160 1000
MENS & LADIES COTTON for light useCode Description QtyGL-C418017 Mens Cotton Knitted Cuff PairGL-418018 Ladies Cotton Knitted Cuff Pair
LATEX Non Medical Powdered for food handling, cleaning etc.Code Description QtyGL-L468404/S Small Latex Glove 1000GL-L468404/M Medium Latex Glove 1000GL-L468404/L Large Latex Glove 1000
ARTLINE Code Description Qty/Pack MP70BK #70 Black Bullet Tip 12 MP70BL #70 Blue Bullet Tip 12 MP70RED #70 Red Bullet Tip 12 MP90BK #90 Black Chisel Tip 12 MP90BL #90 Blue Chisel Tip 12 MP100BK #100 Black Large Chisel Tip 12 MPINK330BK Black Ink 330ml 1
All supplied in 500gm Bags (40 Bags/ctn)Code Dimension (mm) Thickness (mm) Qty/Bag
RB10 35 x 1.5 0.8 4355 RB12 38 x 1.5 0.8 3725 RB14 50 x 1.5 0.8 3465 RB16 64 x 1.5 0.8 2674 Rb18 75 x 1.5 0.8 1825 RB19 90 x 1.5 0.8 1815 RB30 50 x 3 0.8 1605 RB32 75 x 3 0.8 925 RB33 90 x 3 0.8 860 RB34 100 x 3 0.8 747 RB35 114 x 3 0.8 670
All of the above are stock sizes. Other sizes available upon request
SHEFFIELD BLADES: Code Description Qty
GENERAL PURPOSE ADHESIVESAJGP Joyna Adhesive 350g 12
ROLLS Code Description Ctn WR-RT-80 19cm x 80M 16/ctn
Dispenser: WRD-00020 Dispenser: WRD-2204489
FINGERTENS HANDCLEANERCleans with fine granules, so thatyour hands do not dry out.Blue - Coarse grain; Yellow-Fine grain Code Description AFHBL4 4L Blue AFHBL/20 20L Blue AFHYEL4 4L Yellow AFBC1 1L Barrier Cream
Dispenser: WRD-8055W 500mlWRD-8056W 1.8L
CAKE SOAP Code Description SOAPSOL 125gm x 100 cakes SOAPIVY 100gm x 72 cakes
Code Units DescriptionJA3047/20 20L 30-60 second open time Foam to foam or Dacron. Display & shopfitting.JA3029/20 20L 60-120 second open time Adhering fabric to display panels JA3050/20 20L 60-120 second open time Bonding veneers and laminates. Post forming grade for bench tops
Code Units DescriptionJA1050 20L PVA Padding Glue General purposeJA3760 20L PVA Padding Glue For gloss papers and cold conditions
Padding glue available in 4L jars.
Code Units Description AD-H1/15 15kg Hotmelt Chips Closing and sealing of standard cardboard cartonsAD-106/15 15kg Hotmelt Chips As above and for freezer room packagingAD-140/15 15kg Hotmelt Chips Cardboard sealing for more difficult applicationsGS-9015/12 2kg Sticks 10mm Dia Glue gun application. Cardboard to cardboard
Code Units DescriptionJA1043/20/5 20L 45% solids. 5000cps viscosity General purpose grade woodworking adhesive (available in 5ltr)JA1046/20 20L 53% solids. Low viscosity Cardboard box lapsealing and cardboard laminatingJA1047/20 20L 50% solids. 14,000cps viscosity Premium grade cabinet adhesive. Ideal for vertical gluing applicationsJAXL3/20 20L 53% solids. 7,500cps viscosity Cross linked adhesive provides superior waterproof bond. Suitable for MDF and custom wood
Code Units DescriptionJA2002/20 20L Mounting down Adhesive Adhering prints and photographs to backing boardJA3760/20 20L Padding Adhesive Pad spine binding for the print trade
Woodworking and general purpose water based adhesive. Clear drying.
Paper to paper laminating water based adhesive. Clear drying.
Solvent based adhesives for furniture, upholstery and kitchen manufacturers.
NAME OF PERSON AUTHORISING ACCOUNTS: The above information is for the purpose of obtaining credit and is warranted to be true and correct.
TERMS OF TRADING & CONDITIONS OF PAYMENT: Full payment must be received by the credit grantor, not later than 30 days from receipt of each month’s statement. No goods will be ordered unless we, the company have the capacity to pay the invoiced price. There will be sufficient funds in our bank account to meet any cheque drawn in your favour in payment of our account. GOODS SUPPLIED ON THIS ACCOUNT REMAIN THE PROPERTY OF QUALTAPE AUSTRALIA PTY LTD UNTIL PAYMENT IS CLEARED.
ABN 15 009 265 865
Qualtape Australia Pty Limited
I on behalf of (Co. name) being duly authorised to apply for credit from QUALTAPE AUSTRALIA PTY LTD do also agree to the terms as set out above. In the event of this credit account ever being placed in the hands of a solicitor or debt collector for formal demand and the collection of any monies outstanding, then it is agreed that this company/firm will pay all fees and disbursements which may be levied by that debt collector/solicitor.
SIGNED POSITION IN CO./FIRM:
WITNESSED BY DATE
NAME, ADDRESS, PHONE AND FAX No. OF THREE TRADE REFERENCES:
NAME: Address: Phone: FAX:
NAME: Address: Phone: FAX:
NAME: Address: Phone: FAX:
NATURE OF BUSINESS: DATE OF COMMENCEMENT OF BUSINESS