AgriKids Farm Safe Roadshow
Expression of Interest Form
Supported by Department of Agriculture, Food and the Marine.
Show contact name
*
First Name
Last Name
Position with show (Secretary, Trade Stands, Safety Officer, etc)
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Event Details
Date of Event
*
-
Month
-
Day
Year
Date
Event Location Address (not address of show head office)
*
Street Address
Street Address Line 2
City
County
Eircode
Show website (social media links, etc)
Roadshow Option
*
Mobile Van (10m x 6m and requires flat location)
Branded Gazebo (3m x 3m)
Indoor set up (space can be tailored to show's request)
No preference
Tell us more about how your event wants to promote farm safety and why it's important to you.
Have a question or is there anything else we need to know.
Please note that by sending this form your application is not confirmed. You will receive a confirmation email from AgriKids.
Please revert to out T&C's below for further details.
Please verify that you are human
*
Submit
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