Platinum Sponsorship – Melville Cockburn Chamber of Commerce

Expression of Interest Form - Sponsorship Registration

Step 1 of 4 - Business Information

Business Name*
ABN*
Business Address*
State/Post Code*
Postal Address
Postal Address State/Post Code
Phone*
Website*
Facebook Address*
How many Employees?*
Years in business?

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Contact Person*
Position
Mobile*
Date of Birth
DD slash MM slash YYYY
Email*
Other emails you wish to register within your organisation.
Name Email

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Sponsorship Package*
Name
This field is for validation purposes and should be left unchanged.

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