Barossa Mitre 10 Ladies Night Supplier Form

Barossa Mitre 10 Ladies Night

Expression of interest form.

"*" indicates required fields

Company*

Business Name

Contact Name*

First Last

Contact Phone*

Email*

Are you interested in participating in Barossa Mitre 10's Ladies Night?*

Select 'No' if you're just donating goods.

Yes

Will you have a demonstration/work station?*

Yes

What is your proposed work station? What size space will you require? Will you require us to provide anything on the night e.g. power, table, chairs etc.?*

Will you be able to supply donations?*

Yes

What will your donation be and how much are you supplying?*

Donation of branded products to add to our goody bags or maybe a door prize

If you would like additional information or have any questions please let us know