First Name *

Last Name *

Social handles *

Email *

Phone

City

Your Title

Service locations

Please include a short (approx. 50 word) bio of yourself. *

Price Range

*enter your starting price or rate in Australian Dollars

Your products/ services About Info *

What drives you to be a part of The PoleVenture industry network? *

Product and Service offered

*Business services eg: Touring manager, Marketer, accountant etc..

Please upload a headshot we can use for marketing *

Upload your logo: PDF/JPEG

Upload any visual graphic, portofolio or pictures you would like to use for marketing *

Promotional Video LINK *

I agree to terms & conditions provided by the company. By providing my phone number and email address I agree to receive text messages and emails from the business.