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  • Magenta Guarantee Application Form

    (Franchisee form)

    Please fill out this form to complete your customers Magenta Payment Protection Guarantee application.

  • 1A 

    Type of Works

    *
  • 1B 

    Your companies name - e.g: Diamond NZ Ltd

    *
  • 1C 

    What stage of the process is the project in?

    *
  • 1D 

    What stage of the process is your project in?

    *
  • 1E 

    Franchisee First Name

    *
  • 1F 

    Franchisee Surname

    *
  • 1G 

    Franchisee email address

    *
  • 1H 

    Franchisee Territory

    *
  • 1I 

    Customer First Name

    *
  • 1J 

    Customer Surname

    *
  • 1K 

    Customer email address

    *
  • 1L 

    Project Address: Street Number

    *
  • 1M 

    Project Address: Street Name

    *
  • 1N 

    Project Address: Suburb

    *
  • 1O 

    Project Address: City / Town

    *
  • 1P 

    Project Address: Post Code

    *
  • 1Q 

    Customers response link (this can be found in the confirmation email that was sent to you when the customer completed their application form)

    *
  • Works Contract Details

  • 1R 

    Contract Price: $

    *
  • 1S 

    Magenta Guarantee Fee (1.5% of Contract Price): $

    *
  • You can use the calculator on our website to calculate your guarantee fee for this stage of the project

  • 1T 

    Estimated Start Date

    *
  • 1U 

    Estimated Completion Date

    *
  • 1V 

    Upload Signed Contract for stage of project seeking cover for

    *
    Click Here
  • Max file size: 10240 KB
    File types supported: jpeg, jpg, png, pdf

  • Acknowledgement and Representation

    By submitting this Guarantee Application form, you the Franchisee acknowledges and agrees that:
    (a) The Application has been completed to its entirety and the information provided is complete, true and correct;
    (b) You have read the Franchisee Guide and understand your obligations; and
    (c) You are solvent and able to meet all debts and obligations that you owe for the duration of the Works Contract with the Homeowner.

  • 1W 

    *
  • 1X 

    Upload a solvency certificate in the approved format that is no more than 6 months old (Click here to download draft solvency certificate in approved format)

    *
    Click Here
  • Max file size: 10240 KB
    File types supported: pdf, txt, doc, docx

  • Finish
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