Business/ Supplier Expression Of Interest Form

Business/Supplier Name*

First Name*

Last Name*

Email*

Office Phone

Mobile

Type of Business/Supplier*

Select

Services*

Please supply details of services offered for an event

Product Catalogue or supporting images*

Please upload your Product Catalogue or image of your work

Drag and drop files here or

Insurance*

Please note: It is a requirement that each vendor must have Public Liability Insurance to the sum of $20,000,000 (20 million) and Gympie Regional Council noted as an interested party My business has the required amount of public liability insurance in place to assist with a Gympie Regional Council event

Yes

Adversiting Approval*

Do you agree for your information to be shared with other event organisers or the general public? Your information may be shared on an online directory in the future.

Yes

Privacy Statement

In providing any personal information, please note that you are agreeing to the possible transfer of your information outside Australia via the internet under s33 of the Information Privacy Act 2009. If for any reason you are unable to agree to these terms, please contact council on 1300 307 800 to discuss alternate arrangements.

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