Application Form

The Hinterland Tourism (MPHTA) is a volunteer-run organisation, supporting its 100 plus members with a range of benefits:

APPLICANT’S BUSINESS DETAILS
Business Location Details will be published on the MP Hinterland website
Business Name*
for invoicing
Trading Name
if different
Postal Address*
Street Address Address Line 2 City State Postcode Country
Business Address - if different to Postal
Street Address Address Line 2 City State Postcode Country
Business Phone Number*
Business Email*
Website
Facebook Page URL
Instagram Handle
Contact Details
Contact Details below are not available to the public and are used exclusively by MP Hinterland. A minimum of ONE CONTACT is required.
Primary Contact
First Last
Position
Email
Phone
Mobile
Marketing Contact
First Last
Email
Phone
Accounts Contact
First Last
Phone
Email
Further Business Details
This information is used in marketing your business.
Website Listing
Membership includes a 25-word listing for the MP Hinterland website, updated once per year
Signboard Listing
Membership includes a 25-word listing for Information Display Boards.
Feature Image
Please supply your photo or logo to be used on the website. Max 2MB, jpg or png format
Accepted file types: jpg, png, Max. file size: 2 MB.
Please nominate your category of business
- Accommodation Provider
- Activities / Attractions
- Brew, Wine & Dine
- Shopping
- Service Providers
Activities / Attractions Sub group
- Gallery
- Adventure
- Produce
- Wellness
Security to submit
Show us that you are human to see the submit button – which letter is missing in A B C D __ F G?

APPLICANT’S BUSINESS DETAILS