Area: This Entitles Each Pro Shop/Vendor to a Maximum Area of 18M2 Only

STATE CHAMPIONSHIPS PRO SHOP/VENDOR APPLICATION
Applicant Company Name
Postal Address
Suburb / Postcode
Contact Name
Contact No Wk / Mob
Email Address
Products Sold
Public Liability Insurance Company Name
Insurance Policy Number
Insurance Expiry Date
Copy of Current Insurance Policy attached

Event: State Championships, Southside BMX club, Thursday 5th October to Saturday 7th October 2017

Cost: $300 + GST

Area: This entitles each Pro shop/Vendor to a Maximum area of 18m2 only.

(Tent NOT Supplied)

Allocation: Site allocation is completed by BMX Sports Western Australia, by way of random draw. (Exception being the Host Clubs regular Pro Shop Supporter, who may be given First preference)

Bookings: Can ONLY be made through the BMX Sports Western Australia Office, along with your Application form and Payment.

Payment: Must be received by Thursday 14 September 2017

**Please Note: A Tax invoice/Receipt as required will be issued after payment has been received. Payment can be made by Cheque, Credit Card, or Direct Deposit

Bank Account Details:

Account Name: BMX Sports Western Australia

BSB: 036 237 Account Number: 170053

If paying by Direct Deposit please send remittance email to: stating invoice number, payment amount and date.

Cheque / Cheque Number
Credit Card / Visa MasterCard Bankcard
Card Number / / / / / Expiry Date / / / Security Code
Cardholder’s Name (print) / Cardholder’s signature

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Pro Shop – Vendor Agreement

2017 State Championships

I/We ______

(Print name)

______

(Sign name)

Hereby agree to abide by the following:

1. BMX Sports Western Australia has full control on placement of Pro Shop and Vendors at the 2017 State Championships.

2. Pro Shops – Vendors may not be a company producing or selling tobacco, alcohol, pre or post workout supplement products or pornographic products and must not be involved in sports betting.

3. Setup of Pro Shop – Vendor can be conducted on Thursday 5th October until Saturday 7th October 2017.

4. Pro shop is to attach a copy of their CURRENT Public Liability Insurance policy.

BMX Sports Western Australia Inc

105 Cambridge Street West Leederville WA 6007 | PO Box 1387 West Leederville WA 6901

P: 08 6336 9685 | E: | W: www.bmxsportswa.com.au

ABN: 38 189 688 320

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