CASTLEMAINE HEALTH & WELLBEING EXPO
AUGUST
14th & 15th 2010
10.00
am 4.00 pm
APPLICATION FORM
PRINT OUT ~ FILL IN ~ POST WITH CHEQUE/MONEY ORDER
Name_________________________________________________________________________________
Address________________________________________________________________________________
__________________________________________________________________Postcode(____________)
Telephone________________________________E-mail_________________________________________
Product Description_______________________________________________________________________
I would like to give a 25
minute lecture on______________________________________________________
______________________________________________________________________________________
SITE COST INCLUDES GST
o Reader/Spiritual Artist $150.00
oAll other sites 2.7m frontage $150.00
o Power $25.00 BYO power leads
SAME BUSINESS ONLY NO SHARING
B.Y.O. TABLES ~ CHAIRS PROVIDED ~
LIMITED POWERED SITES
LIABILITY RELEASE
I and/or my representatives will not hold
the organisers or any of their agents responsible for any loss
and/or damage to my products, myself, persons
working for me, as well as visitors to my site.
Public Liability, Product Insurance, Product Licenses and Fees
are wholly my responsibility.
Signature
.Date
.
Please make Cheque/M.O.
payable to Seven Circles, SCFPP, Inc.
Seven
Circles, Spiritual Centre For Planetary Peace, Inc.,
Post Office Box 169, Maldon 3463
Phone (03)5475 2141
