Effluent Expo NZ Contact Information and Booking Sheet

Site spaces are limited and will be assigned on a ‘first in first served basis’. Please note all correspondence and invoicing will be emailed only unless otherwise requested.

Please contact us here with any questions you may have on the below form. Please note, * denotes a required field.

Exhibitor details


Company name

Company name (Legal)*

Company name (Trading as)*

Site details contact person

Full name*

Role title*

Phone no. (incl. area code)*

Mobile no.*

Email address*

On the day contact person

Full name*

Role title*

Phone no. (incl. area code)*

Mobile no.*

Email address*

Postal address*

Post code*

Street address*

Post code*

Account details for invoice


Account name*

Contact name*

Type of business*

Phone no. (incl. area code)*

Postal address*

Post code*

Remittance email address*

The Effluent Expo is strongly focused on the subject of effluent storage, design, its management and application to industry minimum standards.

We therefore reserve the right to accept or reject applications for a stand on this basis.

Please describe below the relevance of your stand to the Expo, and the way in which your business contributes to supporting farmers to improve their effluent management.*

Has your business had any altercation with any regulatory authority in and around design or functionality of your product – if so, please explain.

Other details


Two tickets are included as part of your exhibitor pack to drinks, dinner and entertainment Tuesday 19th November 2019 from 3.30pm - held in the center of the pavilion.

RSVP:
YesNo

Please confirm the total number of tickets required. Please note, each additional ticket is $40.

NZ Dairy Exporter is our official media partner and will be producing the Official Expo Guide for every dairy farmer in the country. The Official Guide offers both advertising and editorial opportunities, offering great value to exhibitors. One of their team will be in touch to discuss promotional opportunities in the Official Expo Guide and NZ Dairy Exporter. Please tell us who is the best person in your business to deal with this.

Name*

Phone*

Indoor exhibition sites


The costs for a standard exhibition site are as follows. Larger indoor sites may also be available by negotiation. Exhibition site pricing includes:

  • Power 10amp 4way Multibox 1 per stand
  • X2 150watt Spotlight per stand
  • 2.3m high black Velcro panels
  • Forklift to pack in and out
  • X2 tickets to the Effluent Expo Function Tuesday from 3.30pm – includes x2 complementary
    drinks & dinner

You can view the map here.

Do you require an exhibition site?*

YesNo

Site sizes and cost excl.*

Extra: Trestle Table 1.8m and cloth; Cost: $40ea*

Extra: Trestle Table 2.4m and cloth; Cost: $55ea*

Extra: Chair; Cost: $6ea*

Exhibition site selection (provide site number in order of preference)

Set-up time*

Do you require a forklift required during set-up?*

Pack down date and time*

Do you require a forklift required during pack-down?*

Do you require electricity? (see condition 5)*

YesNo

Is 10AMPS sufficient? (if not see condition 5)*

YesNo

Do you have any large items (over 100kg) on your site? If so, please provide details

Indoor industrial sites


What were previously outdoor sites, these are now all-weather indoor sites with dimensions 10m x 10m. Industrial site pricing includes:

  • Three phase power if needed – please specify
  • Forklift to pack in and pack out
  • X2 tickets to the Effluent Expo Function Tuesday 19th November from 3.30pm – includes x2
    complimentary drinks & dinner

You can view the map here.

Do you require an industrial site?*

YesNo

Site sizes and cost excl. GST*

Extra: Trestle Table 1.8m and cloth; Cost: $40ea*

Extra: Trestle Table 2.4m and cloth; Cost: $55ea*

Extra: Chair; Cost: $6ea*

Which is your preferred site selection, and do you require power to your site (is 12A sufficient)?*

Set-up time*

Do you require a forklift required during set-up?*

Pack down date and time*

Do you require a forklift required during pack-down?*

Any other requirements / comments?


Please add any other requirements / comments here.

Liability insurance requirements


Do you hold Public Liability Insurance of not less than $2m*

YesNo

Please provide further details*

Type of insurance*

Provider*

Policy number*

Date insurance valid from*

Date insurance valid to*

Upload Certificate(s) (Format: PDF / Limit: 10MB each)

X

X

X

X

+ Add another file

Health & safety requirements


Tasks performed on site*

Potential hazards / Harm on site e.g. Operating machinery, slips trips & falls - risk of bruising, broken bones etc.*

Action taken to eliminate, isolate or minimize hazards*

Other comments

Confirm & agree


Name and Position*

Date*

View Agreement for Exhibitors*

The person submitting this agreement confirms that they have the authority to sign for and on behalf of the Exhibitor and have read and understood the Agreement for Exhibitors linked above.
YesNo

I agree that our business exhibiting complies with the Effluent Accreditation Process, Effluent Design Standards and Code of Practice, the IPENZ Practice note 27 and or the NZ Building Code where applicable. These documents can be viewed here.
YesNo

Please wait for a few seconds for system to confirm success message. Please do not press 'SUBMIT' more than once.