COMPANY DETAILS Not for publication.

Company Name:
Main Contact Person:
Postal Address:
State:
Email:
Website:
ABN:
Phone:
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Post Code:

PUBLIC LIABILITY INSURANCE All exhibitors must have their own public liability insurance with an indemnity amount of not less than AUD$10 million. For further information see terms and conditions attached to this application.

Name of Insurer:
Policy Number:
Upload Cert. of Currency
Max File Size 15MB

ACCOUNTS DEPARTMENT

Contact Person:
Email:
Phone:

MARKETING DEPARTMENT

Contact Person:
Phone:
Email:

PERSON ATTENDING

Contact Person:
Email:
Phone:

PROGRAM INFORMATION for publication in official program

Company Name:
Company Website
Company Email:
Short Business Description:

SITE REQUIREMENTS

Site Preference:

SITE SELECTION Please choose one site type below, followed by the quantity of sites you require

Machinery Arena
Elders Livestock
Oval Precinct
Home & Living Pavilion
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Please indicate the number of sites you require:

OPTIONAL EXTRAS

Wed 12th & Thurs 13th August 2020

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50 Midlands Road, Mingenew, Western Australia, 6522
Ph: (08) 9928 1138              E: admin@mmwe.com.au

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