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(02) 4722 5556
4722 5556
Home
About Us
Events
Gallery
Business Improvement
Membership
Application form
Directory
Contact
Order Number
CBD BUSINESS MEMBERSHIP APPLICATION
Title
Choose One
Mr.
Ms.
Mrs.
Prof.
Dr.
Contact Person
Business Name
Shop Number
Business Address
Suburb
Postcode
Phone Number
Mobile Number
Email address
Property Owner's Details or Real Estate Agent manager
Contact Person
Postal Address
Contact Email
Contact Office Phone
Describe your business:
Tell us about your business: (As you would like it described on your listing)
DIRECTORY LISTING INFORMATION
Would you like your mobile number listed?
*
Yes
No
Would you like your E/Mail address listed?
*
Yes
No
Do you have a logo for your business?
*
Yes
No
Subscription:
(Fees do not include GST)
A. CBD Levy Area (Free of Charge) OR B. Outside levy areas $125.00 (per annum)
*
A: CBD Levy Area*
B: Outside levy areas (within Penrith LGA)
(*as per boundary map)
Method of payment:
Method of Payment:
*
Cash
Cheque
Bank Deposit/Online (EFT)
Invoice available on request
Acceptance of Terms
Name of Authorised Person Accepting Terms
Date
Acceptance of Terms
Acceptance
*
I have read and agree to the
terms and conditions
Information Summary
