WHITE NIGHT GEELONG 2018 RESTAURANTS, CAFES & BARS REGISTRATION FORM BUSINESS DETAILS
Venue Name
Venue Address
Type of Business – please circle
Restaurant Café Bar
Primary Contact Person Contact Phone Number Email Extended Business Hours
Open time: Closing time:
Licenced Premises?
Yes No
Extending Liquor Licence?
Extended licence hours application: From To
Please complete and return via email to dlynn@daewhitenight.com by Friday 17 August 2018