|
| CUSTOMER DETAILS |
|
|
|
| Customer
Name: |
* |
|
| Organisation: |
|
|
| Address: |
* |
|
| Town/Suburb: |
* |
|
| State: |
* |
|
| Telephone: |
|
|
| Email: |
* |
|
| Would you like to receive details of future events? |
|
|
| Comments: |
|
|
| |
|
|
|
| HOW DID YOU FIND US? |
|
To gauge the effectiveness of our marketing can you please identify how you heard about us.
Tick all appropriate boxes |
|
| Signage/Promotional Material: |
|
|
| Our Magazine Advertising: |
|
|
| Searching the Web: |
|
|
| Through a Friend: |
|
|
| Beechworth Website: |
|
|
| Visitor
Information Centre: |
|
|
| Other, please detail: |
|
|
| |
|
|
|
| * These fields are required to be filled out before your form can be submitted. |
|
| |
|
|
|
|
|
|
