At Flemington | Melbourne Cup Business Network

Your Details

Title:*

First Name:*

Last Name:*

Date of Birth:*

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Business Title:

Company Name:*

Address Line 1:*

Address Line 2:

Address Line 3:

City/Suburb:*

State:*

Zip / Postcode:*

Country:*

Work Phone:*

Work Fax:*

Mobile Phone:

Contact Email:*

Business Website:

Are you a member of the Victoria Racing Club:*

Yes No

Are you a member of other racing clubs (please list):

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Products and/or Services (use commas to separate keywords):*

Company Profile (recomended length 100-200 words) what describes your product or service:*

Industry (hold down CTRL to select or unselect multiple):*

Where did you hear about the Melbourne Cup Business Network Program?:*

Is your Company Currently Exporting:*

Yes No

If not currently exporting, would you like to consider export in the future?:*

Yes No

Which countries are you exporting to? (hold down CTRL to select or unselect multiple):

Which countries are you interested in exporting to? (hold down CTRLto select or unselect multiple):

Does your company currently entertain at the Melbourne Cup Carnival:*

Yes No

Would your company be interested in receiving information about other entertaining & dining options during the Melbourne Cup Carnival?:

Yes No

During the year, the MCBN program hosts a number of national and international networking events. Would you be interested in attending these?:

Yes No

If yes, which event style suits you best?:

Weekdays Evening weekday Raceday Weekend

Would your company be interested in becoming an event affiliate?:

Yes No

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