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Aussie Gateways
Data Gathering -
Preferred for Regional Media Advertising
please print and fill out this sheet and fax to (02)6680
2963
Name
of Establishment : .............................................................
Type
of Establishment : .............................................................
Address
: ................................................................................
.............................................................................................
Phone
: ...............................................................
Fax
: ...................................................................
Email
: .................................................................
Website
: .............................................................
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Please
tick ...
Please
tick ...
Please
number...
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Preferred
Regional Identity to be portrayed
..... Clean & Green
Natural Environment, .....
Family Activities
.....
Night Life, .....
Dining Experience, .....
Sporting Tours
.....
Rest & Relaxation, .....
Conventions/Seminars
.....
Accommodation Experiences
Preferred form of media advertising for regional
promotions.
.....
Television,
.....
Radio, .....
Newspaper, .....
Brochures,
..... Internet
Preferred
Television Windows
Please number in order of preference 1 to 3 for cities of ...
(ONLY choose 3 cities)
.....
Sydney,
.....
Melbourne, .....
Brisbane, .....
Adelaide,
..... Perth, .....
Canberra,
.....
Darwin, .....
Hobart
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Please
number in order of preference 1 to 5 for regional areas ...
(ONLY choose 5 regional areas below)
New
South Wales
.....
Newcastle,
.....
Tamworth, .....
Taree, .....
Canberra,
..... Wollongong,
..... Orange/Dubbo/Wagga
Victoria
.....
Bendigo,
.....
Shepparton, .....
Albury, .....
Gippsland,
..... Ballarat
Queensland
.....
Cairns,
.....
Townsville, .....
Mackay, .....
Rockhampton,
..... Maryborough, ..... Toowoomba
Tasmainia
.....
Launceston
Other
Please specify ........................................
NEW ZEALAND
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