Your Name:
Organization:
Email:
Phone:
Address:
City:
State:		Post/Zip Code:
PROPOSED HIRE DATES :
Best Time to Contact You: By Email is Fine Morning Afternoon Evening
Hire Venue :
City:
State:
	Please indicate further requirements in NOTE field below
	Indoor Full Color Display required
	Outdoor Full Color Display required
	Indoor Single Color Display required
	Outdoor Single Color Display required
	Roadside Media / Advertising Display required
	Roadside Traffic Management Display required
	Operator Required for duration of hire
	Generator Required to power display
	Scaffolding or Truss Required to hang display
Approximate size of display screen(s) desired :
Display 1:
Display 2:
Display 3:
Display 4:
Please provide a description of your event, the Minimum/Maximum Viewing Distance, Type of Information to be Displayed and General outline of your requirements below:
If you wish to email information or send image files please email directly to: r.bable@aussportscoreboards.com by copying and pasting to your email client:
How did you hear about us?
	Word of Mouth
	Internet Search Engine
	Saw Installed Product
	Advertisement
	News Item
	Convention or Trade Show
	Other
Please click on SUBMIT button below. You will be contact as soon as possible with answers to your requiest or queries for mor information.
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