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PLEASE READ TO END OF PAGE FOR ALL DETAILS.   THANKS!

UNIVERSAL INSIGHTS presents

Victoria's

NEW AGE HEALING & PSYCHIC Expo

SITE  CONTRACT  & APPLICATION

VENUE: CARDINIA CULTURAL CENTRE
Lakeside Boulevard PAKENHAM
DATE: SUNDAY 21st MARCH 2010
TIME: 10am until 5pm (Setup is from 8am until 9.45am)

Name of Business: ____________________________________________________________

Contact Name: ____________________________________________________________

Address: _________________________________________________________________

_________________________________________________________________

Phone (BH): ____________________________ (AH): _____________________________

Fax: __________________Mobile: __________________ Email: ____________________

Products/Services Offered: ___________________________________________________

_________________________________________________________________________


Stall Requirements: Cheques Payable to Universal Insights
Please note stall fees have not been increased since September 2003
despite significant venue and newspaper ad. rate increases.


 IF BOOKING FOR ONE DAY ONLY AT GEELONG SHOW:

q       LARGE stall approx. 4m frontage by 1.5m depth:  $130 + GST = $143

q       MEDIUM stall approx 3m frontage by 1.5m depth:  $110 + GST = $121

q       SMALL stall approx 2m frontage by 1.5m depth:  $90 + GST = $99

q       Power (only available for those who cannot operate a stall without it.)

q       Table (Usually 1.8mtr length but can vary) Please specify # of tables:



WORKSHOP TOPIC and brief description: _________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________
q       Workshop Time: 25minutes – please be ready to start 3 mins prior and finish 5 minutes prior to the half hour.
q       Any other stall requirements – wall space is reserved firstly for power users and healers: _____________________________________________________________________   PAYMENT: is due ASAP. Cash, Money Order, Cheque, Direct Deposit or Credit Card facilities available.  Please book as soon as possible. Please note the dates & address in your diaries. I/We acknowledge that we have read and will strictly abide by the expo regulations of Universal Insights.  If I/We do not abide by these regulations I/We acknowledge the expo management’s right to ask us to leave the expo with no refund of monies already paid.  I/We also agree to be responsible for and shall keep Universal Insights (and Personnel) indemnified .against all damages, injury, and loss of every description that may occur to any property or persons arising directly through the carrying on the business or activity of the applicant. Signature: ________________________      Date:      /       /        .   N.B.  Please return this form with booking fee A.S.A. P.  to secure your site. Please include a self addressed envelope to receive receipt, or it will be issued on the day. UNIVERSAL INSIGHTS  P.O. Box 196, Chirnside Park, Victoria, Australia 3116 Mobile: 0425 829 281 Email:jeanlawson@optusnet.com.au  Website: www.universalinsights.com.au  
 PRINT THIS FORM
UNIVERSAL INSIGHTS CREDIT CARD PAYMENT FORM:

MASTERCARD [   ]               BANKCARD [   ]             VISA [   ]     
         
CARD NUMBER     _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _

CARD HOLDER'S NAME

________________________________________________________________

ADDRESS

________________________________________________________________

CITY    
_________________________________            POSTCODE ____________


COUNTRY___________________________________________

EXPIRY DATE    _ _ / _ _        3 DIGIT VERIFICATION NUMBER _____

 

TOTAL AMOUNT  $___________________



NAME OF EXPO: ________________________________

 

DATE OF EXPO: ________________________________


I authorise Universal Insights to debit my credit card with the amount shown above. I certify that I am over 18 years of age.


SIGNATURE   __________________________________________________

 DATED:  __________________________