1. Applicant's Details

Name:

Street Address:

Postal Address:

Phone:

Fax:

Email:

Website:

Company name / Community group name:

2. Proposed Use of the Clutha Country Brand

3. Business Activity (brief description of your business and location)

In submitting this form, I agree to the following terms and conditions:

1. An application to use the regional identity logo (NZ trademark 758178) for approval must be made for each reproduction.

2. The user must follow any specifications as to colours, quality of reproductions etc that may be given out by Clutha District Council / Enterprise Clutha from time to time as set out in the regional identity guidelines.

3. The Clutha District Council/Enterprise Clutha may withdraw the logo at any time on reasonable notice.

4. The Clutha Country brand cannot be reduced for retail purposes.

5. All reproduction of the Clutha Country brand must be proofed by the Clutha District Council / Enterprise Clutha before reproduction.