Tourism Media Campaign 12 Month Membership Application
This is a read only file - Please print out & fax to Aussie Gateways Pty Ltd Fax (02) 6680 2963

Company / Organisation : .............................................................................................................

Contact Person : ........................................Position in Company : ................................................

Address : ....................................................................................................................................

Telephone : ..................................................... Facsimile : ..........................................................

Email : ............................................................

Website details : www. ...................................................................................... 

Portal Location/Position : .............................................................................................................

Please select your appropriate area or region you wish to be positioned 
Tourism & Business Gateway links from q Northern Rivers Portal q Gold Coast Portal
q Northern NSW Portal q Business Network Portal

Type of Operation : (ie. accommodation, attraction, tour, information etc )

......................................................................................................................................


Membership Levels & Benefits .. ................................................. Amount ........................


Signed : ................................. Position :. ............................ Date : ...............................

Aussie Gateways Pty Ltd
P.O. Box 30 
Brunswick Heads NSW 2483
Ph   (02) 6680 1424
Fax (02) 66802 963
Email mark@aussiegateways.com.au