OBN Registration - Desert Knowledge Australia

Your Contact Details

First Name

Last Name

Job Title

Company

ABN Number

Business Phone

Mobile Phone

Fax

Street

City / Suburb

State

Post Code

Website

Which region/s do you work in?

Barkly
Central Australia
Central West Queensland
Far North SA
Far West New South Wales
Kalgoorlie - Boulder
Mid West and Gascoyne
North West Queensland
Outside Australia
Outside the Outback

Primary Business Activities

Consultancy
Contractor
Educator/Trainer
Manufacturer
Primary producer
Service provider
Researcher
Business Support Agency
Other

Other Region (please specify)

Other Business Activities (please specify)

Industry/ies

Local Produce
Mining Services
Sustainable Building
Tourism
Creative Industries
Business Support Agency

Does your business have significant Aboriginal ownership, and/or a significant number of Aboriginal staff?

Yes
No

Please provide a brief business profile

What are priorities or key issues for your business?

Production costs (including power and water)
Access to suppliers
Freight, transport and logistics
Product/service development / diversification
Product/service distribution
Product/service promotion – current / new markets
Keeping up to date with industry developments / Professional development / training
Attraction, recruitment and/or retention of staff
Succession planning
Sustainability issues
Access to information and services to develop/support your business
Other

Other priorities (please specify)

Are you a current customer of our project partner XXXX?

Yes
No

Would you like XXXX to contact you with additional information about their business products and services?

Yes
No

Do you wish for your business website address, logo and business profile to appear on the Desert Knowledge Australia Outback Business Networks business database?

Yes
No

Do you agree to appear in photographs or visual and/or audio recordings and for these recordings to be used in marketing, website and other documents as part of the Desert Knowledge Australia Outback Business Networks Project?

Yes
No

Are there any circumstances in which you would not want your visual or audio recordings used?

Yes
No

If yes please specify circumstances

Are you willing to participate in occasional surveys of businesses involved in the Desert Knowledge Australia Outback Business Networks Project for project reporting and evaluation?

Yes
No

Where did you hear about the Desert Knowledge Australia Outback Business Networks?

Word of mouth - other business

Network Development Officer

Advertising or promotion of OBNP

At an event

Referral from business support agency / adviser / government agency

the internet

What do you hope to gain from participating in the Outback Business Networks?

Outback Business Networks Registration