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Application Form For Event Organisers

    Organisation or Club Name*

    Full Name *

    Email *

    Website

    Telephone

    Full Address

    Website of organisation or event

    Name of event

    Date of Event (must be at least 30 days away)

    Items Requested, Numbered in Order of Preference:

    Product Guides

    Posters

    Banners

    Mothers Bags

    Others - specify

    Event Description

    Segment(s) Represented

    Restore

    Hot Rod

    Import*

    Race

    Others

    Expected Number of Spectators

    Will there be judging?:

    If yes how many first place winners:

    Do you require goody bags for the participants? how many?

    Shipping Information - If different than above - no PO Boxes:

    Shipping Full Name:

    Shipping Full Address:

    Note: Event sponsorship is only available to addresses within AUSTRALIA only.

    Send or email this completed form with your Event Flyer and other supporting materials to:
    Mothers Polish - Event Support Department –
    PO BOX 7145 Baulkham Hills BC, NSW, Australia 2153
    Or
    email to info@motherspolish.com.au