Garage Sale Trail 2017

Garage Sale Trail 2017 REGISTRATION FORM

APPLICANT DETAILS Name of local government:

Street address:

Postal address (if different from above):

Local government website address / Facebook page (please insert link if available):

CONTACT PERSON

First name: Last name:

Position:

Email:

Phone / Mobile:

DECLARATION

I, (name) …………………………….…..………. (position) …………………..………..…………………. of

(organisation) …………………………...... declare that the information given in the Garage Sale Trail registration form and all attached documents is complete and correct to the best of my knowledge, information and belief.

Authorised officer Signature

Witnessed by Signature

Please provide evidence of your local government registration with Garage Sale Trail. Attach evidence if available. Date registered with Garage Sale Trail: ______/______/______

Evidence provided: YES NO

Attachments: [list any attachments included in this application form:

Has your local government paid its participation fee? YES NO If yes, please provide evidence: If not, please advise estimated payment date: Please advise date when evidence will be provided to Waste Authority: _____/______/_____

Please nominate staff contact details from two departments in the local government that will be involved in organising Garage Sale Trail activities and community engagement support: Name: ______Position: ______Department ______

Name: ______Position: ______Department ______

Please confirm that you will acquit the grant online. YES NO

PLEASE SUBMIT YOUR REGISTRATION BY 31 MAY 2017

Registration must be electronic and lodged through our website.

www.wasteauthority.wa.gov.au/gst

Your registration will be confirmed on screen and by automated email. If you are experiencing problems, please email [email protected] or call 6467 5313