Application form Download and print the application form, or complete the form electronically online below. Download the application form. Business DetailsBusiness NameTrading NameAddress Street Address Town Postcode Billing Address (if different from above) Postal Address Town Postcode PhonePhone (A/H)FaxWebsite Facebook ABN (Australian Business Number)GST Registered Yes No Type of BusinessShort description of your business (approx 100 words)Trading days and operating hours Monday Tuesday Wednesday Thursday Friday Saturday Sunday Monday – Operating hoursTuesday – Operating hoursWednesday – Operating hoursThursday – Operating hoursFriday – Operating hoursSaturday – Operating hoursSunday – Operating hoursAre you open public holidays Yes No Contact DetailsNamePositionPhoneEmail Partnership LevelSelect your choice of partnership* Bronze $150* Silver $300* Gold $600* DeclarationI acknowledge and agree to the Terms and Conditions* that apply to the 2016/2017 Team Manning Valley Partnership Program. * All amounts include GST. Name*Position*Signed*type your name into signature field Date
