Contact Details Organisation or Company Name: Contact Person:* Postal Address:* ABN: Phone/Mobile:* Other Phone: Fax: Email: Items Proposed to Sell:*
(Please list all items)
Purpose of Site:* And no other purpose whatsoever. Sites will be allocated on information supplied. Public Liability Policy Number:* Name of Insurer:* Indemnity Level (Min $10M):* Date Current To:* date selector Power Required: Please list all electrical appliances to be used and approximate amperage of each. Website: Postcode:* Suburb:* State:*
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