Online Form - Business Hall of Fame Application

Note: You can not save your progress. The system will automatically delete your response if you do not submit. We recommend keeping a separate copy of your responses as you go through the submission process. You can view questions below by starting your submission.

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

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

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.

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

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

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