Exhibitor Registration Form

If you would like to exhibit at the 2011 North Coast Business Roadshow, please fill in your details below and we will be in touch.

If you would like to show case your business or organisation at one of our events, as an 'Event Sponsor', please contact us for a proposal.

'We found sponsoring an event last year was such a success that we are proud to be sponsoring the 2011 North Coast Business Roadshow in Tweed Heads.' - Jordanna Zareb, Traineeships Manager/Coordinator. ACE North Coast Community Colleges

* Required

Title DR MISS MR MRS MS

First Name *

Last Name *

Email Address *

Company *

Work Address

City

State

Postcode

Work Phone Number

Mobile Phone Number (important to contact during the event) *

Web Address

What are you offering your business clients* (a marketing 'blurb' to be displayed on website)*

Will you be attending all Venues? * -- Please select -- Yes No

If No, please select which venues you will attend: Coffs Harbour, Cocktail Networking Evening, Aug 23rd Coffs Harbour, Business Breakfast, Aug 24th Ballina, Cocktail Networking Evening, Aug 16th Ballina, Business Breakfast, Aug 17th Tweed, Cocktail Networking Evening, Aug 31st Tweed, Business Breakfast, Sept 1st

Would you like to present a 20min workshop after b'fast at your chosen venue/s? * -- Please select -- Yes No

Upload your logo here, please attach JPEG File (100Mb Limit)

Enter Word Verification in box below *

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