Parrtjima

Company Name*

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 State / Province / Region ZIP / Postal Code

Accreditation Group*

Please select the one best suited to what you require accreditation for.

Contractor

Personnel Pass*

Contact information must be supplied for every person as part of the COVID Management Plan for this event.

Name	Contact Number	Bump In Pass Required

Vehicle Pass*

Vehicle Make	Vehicle Model	Registration	Contact Details for Primary Driver

Stall Holder

Personnel Pass*

Contact information must be supplied for every person as part of the COVID Management Plan for this event.

Name	Contact Number	Bump In Pass Required

Vehicle Pass*

Vehicle Make	Vehicle Model	Registration	Contact Details for Primary Driver

Tourism Operator / Special Event Group

Anticipated Arrival Time*

Number of Guests in Group*

Attendance*

Please select the relevant dates your group will be attending

Personnel Pass*

Contact information must be supplied for every person as part of the COVID Management Plan for this event.

Name	Contact Number

Vehicle Pass*

Vehicle Make	Vehicle Model	Registration	Contact Details for Primary Driver

Accessible Parking Requests

Anticipated Arrival Time*

Number of Guests in Group*

Attendance*

Please select the relevant dates your group will be attending

Personnel Pass*

Contact information must be supplied for every person as part of the COVID Management Plan for this event.

Name	Contact Number	Bump In Pass Required

Vehicle Pass*

Vehicle Make	Vehicle Model	Registration	Contact Details for Primary Driver

Media

I am applying as a:*

Name of Media Organisation*

Editor/Chief of Staff Name*

First Last

Editor/Chief of Staff Number

Editor/Chief of Staff Email*

Attendance at Desert Park*

Please select the relevant dates your group will be attending

Attendance at Todd Mall*

Please select the relevant dates your group will be attending

Contractor

Stall Holder

Tourism Operator / Special Event Group

Accessible Parking Requests

Media

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