Instructions
- Please print this Web page and complete the Client Details section.
- If you have more than one venue, photocopy at this point.
- Complete the Venues Details for each venue.
- Post to: Venues Online, PO Box 1013, SALISBURY SA 5108.
Client Details
| New Client: |
Yes/No |
| Organisation or Company Name: |
|
| Contact Name: |
|
| Postal Address: |
|
| Contact Phone Number: |
( ) |
| Contact Fax Number: |
( ) |
| Contact E-mail Address: |
|
Venue Details
| New Venue: |
Yes/No |
Venue Title:
(also suburb or town unless part of Venue Title) |
|
Web Address: eg. www.yourvenue.com.au
(please include bookmark if appropriate. |
|
Area (Eg. Sydney South-West)
Refer to Area Definitions Page. |
|
Silver Membership:
(Venue added to bottom of list) |
Yes/No
Please do not send any money we will invoice you. |
Gold Membership:
(Venue added to top of list) |
Yes/No
Please do not send any money we will invoice you. |
| Application Date: |
/ / |
This page was last modified Thursday, 24 May 2007
|
