Mid North Coast Wedding Magazine

EXPO BOOKING CONFIRMATION FORM

Name*

Business Name*

Phone*

Fax*

Email*

Street

Suburb

State

Post Code

Web

Public Liability Insurer

Policy No:

Expiry Date

Stand Size

Stand number,
1st choice

Stand number,
2nd choice

Yes, I would like power to my site
Yes, I would like to go in the show bag
Yes, I require a table
Yes, I require a chair
Yes, I would like to give away food from my site
Yes, I would like to participate in the fashion parade.
Yes, I would like to give a 10 min. presentation

Payment

Pay full amount now
Pay on invoice

Payment method

Pay online now by PayPal (you can use a Credit Card if you don't have a paypal account)
Pay by Post, Cheque or Money Order
Pay by Internet Banking Deposit

Special Instructions

Word Verification:

Please type the two words you see beside in the yellow box. This is an added security measure to assist us in keeping your information safe.

* Fields marked with an asterix * must be completed.