Please complete the details below and submit form via email to or mail to: PO Box 102, Foster VIC 3960 Please select: Fountain / Trailer Contact Details Contact Name: Company/Organisation: Address: Postcode: Phone: Mobile Phone: Phone (Business Hours): Email: Event Details Event Name/Details: Company/Organisation Hosting Event: Type of event (e.g. fair/sporting event etc.): Expected No of Is event open to public?: attendees: Is there an entry fee?: Amount $: Is a profit generated? If so where does it go?: Is the event in South Is reticulated water Gippsland Water’s supply available? Region?: Note fountains require mains water Does organiser have public liability insurance of not less than $10M?: Drinking Fountain or Water Trailer Loan and Collection/Return Details Date of Event Start Time Finish Time Event Address: Postcode: Event Day Contact Key Contact for Event: Number: Please see over for collection, location and times.
Please complete the details below and submit form via email to or mail to: PO Box 102, Foster VIC 3960 Please select: Fountain / Trailer Contact Details Contact Name: Company/Organisation: Address: Postcode: Phone: Mobile Phone: Phone (Business Hours): Email: Event Details Event Name/Details: Company/Organisation Hosting Event: Type of event (e.g. fair/sporting event etc.): Is event open to public?: Expected No of attendees: Is there an entry fee?: Amount $: Is a profit generated? If so where does it go?: Is the event in South Gippsland Water’s Region?: Is reticulated water supply available? Note fountains require mains water Does organiser have public liability insurance of not less than $10M?: Drinking Fountain or Water Trailer Loan and Collection/Return Details Date of Event Start Time Finish Time Event Address: Postcode: Key Contact for Event: Event Day Contact Number: Please see over for collection, location and times.