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Wandoan Suppliers List Expression of Interest Form - Xstrata Coal ...

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X S T R ATA C O A L WA N D O A N S U P P L I E R S L I S T<br />

S O U R C I N G A N D P U R C H A S I N G F R O M L O C A L C O M PA N I E S<br />

2011 Local Supplier <strong>Expression</strong> <strong>of</strong> <strong>Interest</strong><br />

The <strong>Xstrata</strong> <strong>Coal</strong> <strong>Wandoan</strong> <strong>Suppliers</strong> <strong>List</strong> is a mailing list <strong>of</strong> local suppliers who register their interest in quoting to supply goods and services<br />

for the <strong>Wandoan</strong> <strong>Coal</strong> Project, to <strong>Xstrata</strong> <strong>Coal</strong> Queensland and its major contractors.<br />

Please complete the following information. Additional information can be attached.<br />

Note: This is not an <strong>Xstrata</strong> application for registration <strong>of</strong> a supplier. Your details will be provided to Major Contractors<br />

as a possible resource. This may result in you being contacted to provide quotations which may or may not be successful.<br />

1 Supplier contact details<br />

Business name:<br />

Postal address:<br />

Post Code:<br />

Business type:<br />

ABN:<br />

2 Contact person and details For inquiries regarding the application<br />

Salutation:<br />

Mr Mrs Ms Miss Other<br />

3 Work history<br />

First name:<br />

Surname:<br />

Telephone (business hours):<br />

Facsimile (business hours):<br />

Email address:<br />

Describe the history<br />

<strong>of</strong> work performed<br />

4 Insurances held<br />

Outline insurances held<br />

and their value<br />

5 Submit registration form<br />

<strong>Expression</strong>s <strong>of</strong> <strong>Interest</strong> should be submitted by mail in hard copy to:<br />

<strong>Xstrata</strong> <strong>Coal</strong> <strong>Wandoan</strong> <strong>Xstrata</strong> <strong>Suppliers</strong> <strong>Coal</strong> <strong>List</strong>, Queensland <strong>Xstrata</strong> <strong>Coal</strong> Level Queensland, 2, 340 Adelaide GPO Box St, 2587, PO Brisbane Box 5089 QLD Brisbane 4001 QLD 4001 www.xstrata.com<br />

Further forms can be downloaded from the <strong>Xstrata</strong> <strong>Wandoan</strong> <strong>Coal</strong> Project website (www.wandoancoal.com.au)<br />

Please note: The <strong>Xstrata</strong> <strong>Coal</strong> <strong>Wandoan</strong> Community Fund will always receive applications from more worthy initiatives than it can fund.<br />

or by contacting the Therefore, Community while every Relations application Team will on be given 1800 full 052 consideration, 797. the company will not be obliged to give reasons for their decisions regarding<br />

Further details on <strong>Xstrata</strong> <strong>Coal</strong>’s Business Principles can be found at http://www.xstrata.com/sustainability/<br />

any application. Decisions will be final and no correspondence will be entered into.

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