CORO CLUB LIMITED trading as
ABN 76 001 071 245
RIVERINA FIELD DAYS
2012 APPLICATION FORM (May 11 & 12)
TAX INVOICE
Company/Business Name
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Address:
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Town:
..State
.. Post Code
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Phone ( )
. Fax: ( )
.Mobile
Email Address:
Website (if applicable) WWW
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Principal Contact:
Date:
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Indicate site and other requirements below: (Please tick appropriate box)
NON POWERED SITES
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20m x 20m site @ $800 } Main
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$
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Extension on 20m x 20m sites only @ $220 } Arena
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$
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20m x 10m site @ $660 (limited number)
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$
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10m x 10m site @ $600
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$
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5m x 10m site @ $300
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$
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6m x 6m site @ $216 } General Interest inside fence on
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$
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12m x 6m site @ $432 } main arena no power available
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$
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20m x 10m site @ $660 (limited number) }Outside arena
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$
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10m x 10m site @ $600 }on main road
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$
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6m x 10m site @ $360 }
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$
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4m x 8m site @ $192 } All these sites are
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$
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5m x 8m site @ $240 } between trees
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$
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8m x 8m site @ $384 } on the southern end
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$
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9m x 8m site @ $432 } backing onto the
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$
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10m x 8m site @ $480 (one only) } arena.
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$
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15m x 8.5 m site @ $600 (one only) }
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$
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POWERED SITES GENERAL INTEREST AREA
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Power Extra
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12m x 6m site @ $432
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$
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14m x 6m site @ $504
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$
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10m x 10m site @ $600 (one only)
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$
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6m x 6m site @ $216
7m x 6m site @ $252
7m x 10m site @ $420
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$
$
$
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Larger sites may be possible by combining sites please ask
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10m x 10m site @ $600 } Rural exhibitors Bar side
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$
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20m x 10m site @ $660 } We may be able to accommodate
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$
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5m x 10m site @ $300 } larger sites if required. Please apply
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$
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Electricity for outdoor sites @ $60 (supply your own leads)
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$.........................
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Woodside Hall - Specify site size & cost (See P10 )
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$.........................
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Davidge Pavilion - Specify site size & cost (See P10 )
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$.........................
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W.G.M.B. Marquee (Rural exhibitors only) Specify site size & cost (See P?? for information and eligibility)
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$.........................
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Trestles (available from RFD in Woodside Hall & Davidge Pavilion only) @ $15 each
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$.........................
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Electricity in Woodside Hall, Davidge Pavilion & WGMB Marquee, F.O.C. (supply your own leads and double adaptors). Why required
..aH
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$.........................
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OTHER REQUIREMENTS
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Hay Bales [ ] @ $5.50. (Hired not bought) (Outside only)
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$.........................
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Passes: Please indicate total number required [ ]. You may have up to 2 free but any additional ones will incur a charge of $5 each. [ ] required at $5 each. Each pass admits one person. Please ensure you purchase the correct number..
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$.........................
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TOTAL PAYMENT DUE: (GST INCLUSIVE)
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$.........................
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PUBLIC LIABILITY. Please complete the following information Please complete the following information
DO NOT SEND A COPY OF YOUR POLICY
Insurance Company
.
Amount of Cover $
..
million..
Policy Number
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Renewal Date
If these details are not supplied we will be unable to accept your application
I confirm that all the details on this Application are correct and that I have read the Foreword and understood all the Conditions in the Prospectus. I also advise that if the Public Liability Policy is due for renewal prior to the RFD that it will be renewed..
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Signature of Exhibitor Print Name
PLEASE FORWARD CHEQUE (payable to Coro Club Limited) FOR FULL AMOUNT WITH APPLICATION FORM TO:
Riverina Field Days Pty Limited
PO Box 2265, Griffith. NSW 2680
Register by email to: riverinafielddays@bigpond.com
WE ALSO ACCEPT DIRECT BANKING:-
Account Name: Coro Club Limited; Bank: ANZ, BSB: 012-657,
Account No. 4978-80049. Please include Company Name as Reference.
WE WILL ALSO ACCEPT CREDIT CARD PAYMENTS
Upon completion of this form it becomes your Tax Invoice for payment purposes. Please keep a copy for your records, however you will receive another Tax Invoice marked PAID after payment is received.