Gozo Culture : The Island of Gozo MALTA

Logistic Support Application Form

Fields marked with * are required.

Name of Organisation / Group / etc.
Name and Surname of Applicant*
I.D. Card / Passport Number*
Address*
Phone / Mobile*
Fax
Email
Website
Project Details and/or Reason*
Material / Equipment Needed*
Date From*
Date To*
Date of Event*
Venue*
Address*
Is it a 'Fund Raising Event'?*	Yes No
Will the Public pay an 'Admission Fee'?*	Yes No
Comments / Others
Please note that by sending the form, you agree to the terms and conditions.