Booking Form

2011 Gluten Free Expo Space Booking Application

Important! Before completing this application, you must read the full Terms & Conditions here.

Business Name *

Website *

Postal Address *

First contact person *

Position / Title *

Office Telephone Number *

Mobile Telephone Number *

Email *

Second contact person *

Telephone Number *

Email for second contact person *

Floor space requested *

3m x 3m shell scheme stand - $2100 inc GST 6m x 3m shell scheme stand - $4000 inc GST 3m x 2m shell scheme stand - $1400 inc GST Other - please specify below

1st preference Stand # *

2nd preference Stand # *

3rd preference Stand # *

Description of the products you intend to display/sell *

Terms and Conditions *

By checking this box I am indicating that I have read, understand and agree to the Terms & Conditions. Applications are subject to approval by the organiser. I am authorised to make this application and acknowledge that once confirmed by the organiser, it will be subject to a cancellation fee.

After choosing 'Submit' you should see a confirmation message. If this does not appear, check that you have completed all of the required fields (marked with an asterisk).