Event Start Date

Event End Date

Start Time

Finish Time

Event Location and Address

Is this a promotional event for your company Is this a promotional event for your company yes no

What promotional materials will you require What promotional materials will you require our own branded cups our own branded catering packaging banners flyers our own labeling on drinks a horse mascot - dressed up flags uniforms that present our brand

Will you require catering other than Coffee and Tea Will you require catering other than Coffee and Tea yes no

Catering list - Tell us what you need Catering list - Tell us what you need Coffee Iced or Speciality Coffees Tea Smoothies, Shakes or Frappes Soft Drinks Juice Cakes and Biscuits Pies, Quiches, Sausage Rolls

Do you have van access at the location Do you have van access at the location yes no

Do you have a power source available at the premises Do you have a power source available at the premises yes no

What Power Source is Available What Power Source is Available 10 AMP 15 AMP

Contact Person / Event co-Ordinator

Company Name

Phone Number

Email Address

Who will be paying for the coffee and catering Who will be paying for the coffee and catering We will pay for my guests Our guests will pay for their own food and drink Part paid by us and part paid by our guests

Does the contact person have the authority to pay Does the contact person have the authority to pay yes no

Who has authority to pay and what is their phone number

Any other information or instructions you would like us to have