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Shire of Victoria Plains

13

Business Directory Information Form

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Name of Business:

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

Contact Person:

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

Business Address:

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

Postal Address:

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

Telephone Number:

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

Fax Number:

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

Mobile Number:

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

Email Address:

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

Website:

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

Please write a 50 word max description of your business for our website:

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

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

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

Operating Hours:

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

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

Would you like to be placed on the VP Business Builders Mailing list?

You will receive invites to local business networking events and professional /business

development opportunities.

Yes

Yes

No

No

Unless otherwise stated this information will be used for the purpose of the Shire of Victoria P lains

Telephone Directory and website Business Directory only.

Please return form to the Shire of Victoria Plains, 28 Cavell St, Calingiri or

Post: PO Box 21, Calingiri WA 6569

Fax: 08 9628 7008

Email:

reception@victoriaplains.wa.gov.au