QCL Southern Beef Week Entry Form

Please complete this form to register your interest in
Queensland Beef Week - JULY 20-26 2019.

Closing date for entries, 31st May 2019
ENTRY FEE
$550 per stud incl GST *
Additional large directional signs @ $15 each (3 supplied free)
Additional pen cards @ $2.20 each (10 supplied free)
TOTAL (cheque payable to Agricultural Publishers Pty Ltd):
Prices include GST. When completed, this constitutes a TAX INVOICE ABN 93 009 662 284
Please tick box if you would like added to account.

I would like this to be added to my account.
BREED
Breed(s) of cattle: *
Stud or property name:
TRADING NAME AND POSTAL ADDRESS

(all notices, signs and pen cards will be mailed to this address which may not necessarily be the property address)
Trading name: *
Postal address: *

Please include Post Code 0/500
CONTACTS
Contact persons name - one only: *
Phone Number: *
Mobile Number:
Fax Number:
E-mail: *
Wesite:
Photograph

Provide good clear colour photograph of principal or manager (preferably the contact person as indicated above). 1MB maximum size. JPG and PNG format only.
Photograph:
PROPERTY ADDRESS
Include concise directions to be published in Beef Week preview. *

0/1000
Property location in relation to nearest Post Office for map and area location: *

0/1000
DETAILS

Describe your stud or herd MAKE-UP/HISTORY/SUCCESS in no more than 100 words. If more than 100 it will be edited.
No more than 100 words *

0/100
CURRENT PUBLIC LIABILITY INSURANCE

COMPULSORY (Copy must be provided to accept your entry)
Name of insurer: *
Policy number: *
Amount of public liability cover. *
Upload a copy of your insurance certificate *

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DECLARATION

I/We agree as participant(s) in 2019 Queensland Beef Week to abide by the entry conditions which I/we have read and agree to have information published in the Beef Week preview.
Beef Week 2019 terms and conditions
Confirm your Declaration. *

Please tick to confirm.
Should be Empty:

BREED

TRADING NAME AND POSTAL ADDRESS

CONTACTS

Photograph

PROPERTY ADDRESS

DETAILS

CURRENT PUBLIC LIABILITY INSURANCE

DECLARATION