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(*) Compulsory Fields

Company Name:*

First Name:*

Surname:*

Post Address:*

Suburb:*

State:*

Post Code:*

Phone:*

Mobile:*

Email:*

Website:

Please select one:

New Exhibitor
Current Exhibitor

Site(s) Required:

Standard Indoor Site (3x3m) Regional Display (3x3m) Large Indoor Site (6x6m) Major Site (20x20m)	$ 1600 AUS (ex GST)
	$ 500 AUS (ex GST) Regional Grower Associations Only
	$ 3000 AUS (ex GST)
	$ 5000 AUS (ex GST)
	$ 350 Aus (ex GST)
How many sites do you require?

Industry Section:

Special Requirements:

3 Phase Power Phone Line Internet Connection	$ 300 AUS (ex GST)
	You will be contacted to make arrangements, you will not be charged for this now.
	You will be contacted to make arrangements, you will not be charged for this now.

In field demonstration required?:

YesNo

What will you be demonstrating?:

New products to be displayed?:

YesNo

Please give a brief description of the product:

Do you have Public Liability Insurance?:

YesNo

With Whom?:

Will you be attending the awards dinner?:

YesNo

No. of Tickets:

AOA Membership No (If Applicable):

Comments:

Payment Method:

Credit Card
Cheque

$ 1648.00 AUS (ex GST) Please Note payment by Credit Card incurs an additional fee.
$ 1600 AUS (ex GST)

Total (incl. GST):

$ 1812.80 AUS