Mailing List - Central Geelong Marketing

Mailing List Registration

Name:
Address:
Suburb:
State:
Postcode:
Phone:
Email:

What is your Age Group?
Under 18 18-24yrs 25-39yrs 40-54yrs 55-64yrs 65+yrs

Available Lists:
Yes, I would like to receive regular information about the School Holiday Fun Program
Yes, I would like to receive regular information about the Central Geelong Farmers Market
Yes, I would like to receive regular information about the Central Geelong Marketing Activities
Please fill out these details for the School Holidays Program.
Child 1 Name:
Child 1 DOB:

Child 2 Name:
Child 2 DOB:

Child 3 Name:
Child 3 DOB:

Child 4 Name:
Child 4 DOB: