Alice Springs Seniors Expo 2023 Registrations | COTA NT

About You

Organisation's Full Name

(if paying on behalf of an organisation)

Primary Contact Person*

First Last

Email*

Email of your primary contact person

Phone Number*

Phone number for your primary contact person

Address*

Street Address Address Line 2 City State ZIP / Postal Code Country

Name (as it will appear in the program)*

Description*

Short description of your stall or activity - this may be used as is, or edited, in the program.

Your exhibitor registration*

COTA NT reserves the right to refuse your registration and will refund your exhibitor fee (minus the transaction charges).

Transaction Fee

Price: $ 0.00

GST (10%)

Price: $ 0.00

Total

$ 0.00

Select payment type

Credit Card*

Card Details

Cardholder Name

Email

This field is for validation purposes and should be left unchanged.