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D D D D D D D D D D D Other Business, Nature of your business

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					(1)          Business, Accommodation Houses and Eating out Establishments details;


            Business Name:

      Owner/Managers Name

              Position Held

                   Address:

             Postal Address:

                     Phone:

                    Mobile:

                  Facsimile

                     Email:

                   Website:


(2)          Please circle which section applies to your business with the following answers;

Category of Businesses:

           □                          □                            □         □              □               □
         Hotel                     Motel                  Guest House      Services    Self Contained   Backpackers
                                                                          Apartments       Cabins

           □                          □                                      □              □
      Holiday                    Caravan                                  Restaurant       Café
       Flat/s                     Park


□ Other Business, Nature of your business, please explain
Eg. Manufacturing, Service Station, Retail, Mining or Supermarket;




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(3)          The number of employees your business employs in the;

                                ______                  Peak Season           ______   Off Season


(4)          The number of rooms your business/accommodation house has to offer;

               1                                    2                     3                 4              5
               6                                    7                     8                 9       More – ________


(5)          Has your property been awarded accreditation with Tourism Council Tasmania
             (TCT)?

                                 □            YES                         □       NO

If yes, please attach a copy of your current TCT certificate, to enable WCC to display the symbol
on the internet against your business.


(6)          Does your property cater to disabled people?

                                 □            YES                         □       NO

If yes, please give details to the description of your accommodation premises caters for the disabled
eg. Parking, ramps, rails, toilet/urinals and shower facilities etc.




(7)          Would you like to supply a photo of your property?
             If yes, please email directly to jobrien@westcoast.tas.gov.au .


(8)          Please provide a brief description of your business as you would like to see it featured
             on the website.




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(9)          How many ensuited rooms does your facility have, please circle amount;

               1                                    2                            3                   4              5
               6                                    7                            8                   9       More – ________

(10)         Does your facility have other toilets/urinals, please circle amount;

               1                                    2                            3                   4              5
               6                                    7                            8                   9       More – ________

(11)         To which option under the West Coast Council are you utilising for your rubbish
             removal:
      (a) Council issue Wheelie Bin;                                □
      (b) Contractor skip collection;                               □
             Would you like Council to cost one for you as Council provides this service?

                                 □            YES                               □       NO

      (c) Self rubbish removal to tip/waste transfer station.                            □
(12)         Does your business recycle?

                                 □            YES                               □       NO

If no, are you aware that Council have a recycle bin/s for purchase at our two Council offices in
Queenstown or Zeehan, which are collected on a fortnightly basis?


(13)         Does your business reside on your residential property?

                                 □            YES                               □       NO

(14)         If the West Coast Council was to set up a visitor information network on the
             West Coast would you support this by?

□ Monetary Contribution                                                   □ Voluntary Contribution       □ No Contribution
(Includes commission bookings)                                                  (Eg Manning)                   Why?

If no contribution, Why?




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(15)         Are you generally happy with Council and with the Council’s Services?

                                 □            YES                           □      NO

If no, what needs to be done?




If the above information is true and correct, could please sign and print your name below.

_________________________                                           _________________________   _____/_____/_____
      Signature                                                           Print Name                  Date

_________________________                                           _________________________   _____/_____/_____
      Signature                                                           Print Name                  Date




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Description: D D D D D D D D D D D Other Business, Nature of your business