WA SAFETY SHOW

Perth Convention & Exhibition Centre

Tuesday        7 August 2012  10am-4pm
Wednesday  8 August 2012    9am-4pm
Thursday       7 August 2012    9am-4pm

Compulsory fields are indicated by the red *

Register to Exhibit
*Title
*First Name
*Last Name
*Position
*Company
Australian Business Number
*Address 1
Address 2
*Suburb
State/Province
*Post Code/Area Code
Country
If outside of Australia
*Telephone (Work)
Mobile/Cell
Facsimile
*Email
Website
Please send me more information on

Potential Exhibitors Survey

This survey is optional.

Help us help you by completing this brief survey that allows us to assess your Trade Show requirements and recommend what will meet your needs.

Have you exhibited at an exhibition before?

Yes No

If yes, which Exhibition(s) in which year(s)?

What does your business specialise in?
(to select multiple items - hold down ctrl or command key)

What do you wish to exhibit at the Show?

List up to 4 stand choices in order of preference

1.

2.

3.

4.

Thank you for your interest in the QLD Safety Show. An Exhibition Kit will be forwarded to you upon receipt of these registration details.