Media Folder - 2023 Mackay Seniors Expo

Can you donate to lucky door prizes?

I am a

Organisation/group/business name

Postal address

Contact name

Accounts contact name

Phone

Email

Additional information/comments or requests
e.g. access to power, tablecloth or additional support needs

Do you have public liability insurance?

Please attached a copy of your organisation's Public Liability Insurance Certificate of Currency
Minimum $20 million coverage

Select a payment option

Can you donate to lucky door prizes?	Yes No
I am a	Not-for-profit organisation/group ($50 registration fee) For-profit business ($150 registration fee)
Organisation/group/business name
Postal address
Contact name
Accounts contact name
Phone
Email
Additional information/comments or requests e.g. access to power, tablecloth or additional support needs
Do you have public liability insurance?	Yes No
Please attached a copy of your organisation's Public Liability Insurance Certificate of Currency Minimum $20 million coverage
Select a payment option	Pay by cheque Pay in person Invoice my organisation