Membership Form

Membership Subscription Types SMALL $100 (Wine Bar, Small Bar, Restaurant, Café, Function License)
MEDIUM $250 (Small-Medium Hotel, Small-Medium Club, Independent Bottle Shop)
LARGE $500 (Large Club, Large Hotel, Late-trading Hotel, National Chain Bottle Shop)
Non-Licensed - Bites, Brews & Bottles Membership

Select Membership Subscription Memberships valid from 1st July to the 31st June

Full Name of Business *

Street Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Postal Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Telephone *

Fax

Email *

Your Venues Logo Please supply your venue logo for use on this website. PNG, JPEG or GIF Accepted

Your Venue Image Please supply an image of your venue for use on this website. PNG, JPEG or GIF Accepted

Your website address

Your Facebook Address

Promotional Text

Please describe your venue

Please indicate the following facilities at your venue *

FoodLive MusicEntertainmentTakeaway AlcoholDisability AccessFamily FriendlyAccommodationBeer GardenTAB FacilitiesFunction Room HireRecreation/Sports FacilitiesCourtesy Bus

Payment via Direct Deposit When your application has been recieved and processed you will be emailed an invoice with payment details and options.

Your Membership Profile Once payment has been received we will add or update your listing on this website.

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