Online Form - Business Hall of Fame Application

Before applying make sure you carefully read the eligibility and conditions of entry.

If you would like to discuss your application or get additional tips or pointers, please call and ask for the Place Leader (Economic Development) on (08) 9311 8111 or email business@vicpark.wa.gov.au

Note: If you create login details to save your application, incomplete forms are only kept for a period of 2 days, after this time the system will automatically delete your response.

Tip: Fill out applications in Word and paste into online form when finalised.

Introduction

Navigate through the different form sections using the navigation on the left, or use the next/previous buttons located at the bottom of each step.

Save Your Progress

You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response.

Contact Details

Business Details

What industry does your business operate in? *


















General Questions

Contribution to local economy and community

Tip: Examples of contributions to the community include acts such as sponsorship of community events (financial or non-financial), contribution to a Town Team, participation in a community-led event or donations to charity.

Logo and Supporting Documents

Maximum total combined file size is 10MB
Maximum size of ALL attachments is 976.56 MB
Maximum size of ALL attachments is 976.56 MB
Maximum size of ALL attachments is 976.56 MB

Validate and Submit Form

 
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