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Please note that this form is to express your interest to exhibit at the Small Business Expo, and is not a booking form. An Advance Rockhampton representative will contact you once your application has been accepted to discuss your EOI.

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* 1. Business Name

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* 2. Business contact person (please select the most appropriate person to liaise with Advance Rockhampton in the lead-up to the event)

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* 3. Job Title/Position

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* 4. Phone Number

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* 5. Email Address

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* 6. Website (this will be used to link from the Expo landing page)

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* 7. Does your business have a physical presence in the Rockhampton Region? (Eg - shopfront, office, headquarters, warehouse)

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* 8. What products/advice/services does your business provide?

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* 9. If your expression if interest is accepted, can you confirm your commitment to attend the event in Rockhampton on Thursday 7th May from 3pm to 5pm, with bump-in and bump-out excluded?

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