Welcome to Country Request Form

Welcome to Country Request Form

Please enter all your details below and submit the form. We will be in touch after we have reviewed your request.
The Orange Local Area Land Council charges $400 (GST inclusive) for each Welcome performed within its boundaries. An invoice will be raised and forwarded to the Billing Contact email once the Welcome has been performed. The monies received are used to support the members of the Orange Aboriginal community.
Welcome to Country
YOUR ORGANISATION DETAILS

These details will be used for contacting you, organising the event & billing purposes.
Organisation Name*
Organisation Type*

Not for Profit OrganisationSchoolGovernment DeptCommercialOther
Organisation Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Organisation Contact Name

First NameLast Name
Organisation Contact Mobile*
Please enter a valid phone number.
Organisation Contact Landline
Please enter a valid phone number.
Billing Contact Email*
This is the email address the invoice will be sent to.
Purchase Order number/s
YOUR EVENT DETAILS

Please enter all the details regarding your event, including the contact details for the person on the day of the Event.
Describe the Event you are requesting to have a Welcome to Country*
Name of the Venue where the Event is taking place.*
Event Address*

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Event Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Event Contact Person*

First NameLast Name
Event Contact Mobile*
Please enter a valid phone number.
Event Contact Landline
Please enter a valid phone number.
Event Contact Email*
Should be Empty:

Welcome to Country Request Form

YOUR ORGANISATION DETAILS

YOUR EVENT DETAILS