Name

Email Address

Community Group

Date of Event

No. of large Marquees (max 2)

No. of small marquees (max 2)

We would like to advertise on banner poles at Bracken Ridge Road, Bald Hills (Cnr Bracken Ridge Road and Hoyland Street) We would like to advertise on banner poles at Bracken Ridge Road, Bald Hills (Cnr Bracken Ridge Road and Hoyland Street) Yes No

We would like to advertise on banner poles at corner of Lemke and Telegraph Road, Bracken Ridge We would like to advertise on banner poles at corner of Lemke and Telegraph Road, Bracken Ridge Yes No

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