Sponsorship Application Form
Details

Denotes required field
Organisation:
Street/Postal Address:
Suburb:
State:
Country:
Post Code:

Title:
First Name:
Last Name:
Email Address:
Phone Number:
Mobile Number:

Sponsorship Preferences
Please list your sponsorship preferences. (up to 6 can be selected)

(If you wish to secure more than one item, please list in order and place instructions in comment box).

My preferences are:
Please note that all prices quoted are inclusive of GST.
Preference 1:
Preference 2:
Preference 3:
Preference 4:
Preference 5:
Preference 6:

Comments:

Please advise here if you wish to book more than one sponsorship/any other details you wish to include		  
Terms and conditions:
Please refer to page 14 of the sponsorship brochure

APPEA Privacy Policy
APPEA warrants that it has in place a privacy policy which complies with the Privacy Act 1988 (Cth) as amended from time to time and shall ensure compliance of the same by its personnel. 

By registering for this conference, each individual applicant consents to having relevant details and personal information stored on a secure database held by APPEA.  Each applicant further consents to the provision of a delegate list to all Exhibition participants which will include personal information including name, position and organisation, and to the release of certain information to parties directly related to the Exhibition including sponsors.  APPEA may use information collected for the Exhibition to advise applicants of any future APPEA events and services.  You may request access to personal information held by APPEA by providing a written request to APPEA's privacy manager, or to have it corrected or updated.

For further details of our privacy policy, please call the APPEA privacy officer, Cath Sutton on 02 6247 0960.

If you are experiencing any difficulties with your submission, please contact Julie Hood on 07 3802 2208 / This e-mail address is being protected from spambots. You need JavaScript enabled to view it