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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
New England 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
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