EXPRESSIONS OF INTEREST- Gala Night Working Group

Name*

Contact Phone Number*

Contact Email Address*

I am*

representing a businessa stall holder or entertainment providera community memberNone of these

Have you previously been in the Gala Night committee?*

YesNo

Please indicate your availability for meetings*

Please indicate a time that you may be available for meetings (if applicable)

Are you involved in any other community groups or services? if so, please list them and your role:

Welcome to the Shire of MERREDIN