Business Name*

ABN*

Address*

Suburb*

State*-- select --NSWVIC

Postcode*

Address

Suburb

State-- select --ACTNSWNTQldSATASVICWA

Postcode

Telephone Number*

Business Email

Website Address

You are entitled to a free Business Directory listing on three of Albury Wodonga's most visited websites: www.alburycity.nsw.gov.au, www.wodonga.vic.gov.au and www.awc.gov.au

Please tick the information that you want published in the online Business Directory.

You must tick at least one box in the listing section if you want to be listed. You may tick multiple boxes if you want to give users more information about your business:

Business Name, Telephone Number

Street Address

Postal Address

Website Address

Email Address

Or

I do not wish for any of my details to be published online

The following details will only be used by Albury Wodonga Corporation, Albury City Council and City of Wodonga. These details will NOT be distributed to third parties or published in the online business directory.

First Name*

Last Name*

Direct Email Address

Do you want to receive emails from us about valuable information on grants, seminars, training and more?*

Yes, I understand that I can stop receiving email correspondence at any stage, should I so desire.

No, I do not want to receive this information.

Please provide a description of your business ie, video library, accountant, hardware store, pet food manufacturer etc.

(You can enter up to three descriptions)

Business Description 1*

Business Description 2

Business Description 3