Farm Fantastic - Book Your Site

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BUSINESS DETAILS

Company Name:

ABN:

Contact Name:

Product/Services:

Address:

Street:

Town:

P/code

State:

Email:

* required field

Telephone:

Mobile: Work:

Facsimile:

Fax:

Web Address:

SITE BOOKING INFORMATION

Area:

Site Numbers:

Site Dimensions:

Front: Depth:

Electricity:

single phase (240v) 3 phase(415v) No. Points required @ $90.00/point

Public Liability:

Policy Number: * $5Million Required

Exhibitor Passes:

You receive 4 free wrist passes.
- Additional wrist passes $6.00 each

- Additional Lynards $7.00

Additional Passes needed:

Comments:

I have read, understood and accept the Terms and Conditions and agree to abide by all site space Contract Terms & Conditions as listed and acknowledge my/our obligations to these Terms & Conditions.

Please debit my:

VISA Mastercard Bankcard

Card Number

Name on Card

Expiry Date:

Debit Amount

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