Online Form - Promote Your Business Event Form

Organiser Information (only visible to the City of Busselton)

Organiser Name

Organiser Contact Number

Organiser Email

Any Additional Organiser Comments

Name of Event *

Address of Event *

Suburb

Event Date/s *

Event Start Time *

Event Finish Time *

Short Event Summary (max 20 words)

Full Event Description

Category (please select up to 3)

Workshop
Event
Business
Activation
Online Event

What is the cost of the event

Upload an image for your event (jpg or png)

Event Organiser/ Organisation *

Contact Number

Email Address

Event Website

Type the code from the image