The New Zealand LEOTC School Camps & Day Activity Directory -

Premium Advertisement - Application Form

To make an application for a Premium Advertisement the following form needs to be submitted. Once the form is submitted you will be directed to the Payments page.

Cost: $225.00 + GST per year

NOTE: All fields marked with an * are mandatory. The application cannot be submitted until these fields are completed.

Contact Details

Please enter the contact details of the person responsible for this Advertisement. These details will NOT appear in the Premium Advertisement.

First Name: *	Please enter the first name of the contact person responsible for this Premium Advertisement.
Last Name: *	Please enter the last name of the contact person responsible for this Premium Advertisement.
Telephone #: *	Please enter the valid telephone number of the contact person responsible for this Premium Advertisement.
Email Address: *	Please enter a valid email address of the contact person responsible for this Premium Advertisement.
Position within Company: *	Please enter the company position of the contact person responsible for this Premium Advertisement. i.e Director / Manager / Owner

Business Details

These are the details that will appear in the Premium Advertisement.

Business Name: *	Please enter the name of your business, product or service.
Business Address: *	Please enter your business address.
	Invalid Input
	Invalid Input
Suburb / City: *	Please enter the suburb or city where your business is located.
Postcode:	Invalid Input
Telephone #:	Invalid Input
Facsimile #:	Invalid Input
Freecall #:	Invalid Input
Mobile / Cell #:	Invalid Input
Email Address:	Invalid Input
Website URL: http://	Invalid Input

Camp Region

Please enter the region/s that your School Camp is located. Your Premium Advertisement will appear in these Region Listings.

North Island:		South Island:
Northland Auckland Coromandel Waikato Bay Of Plenty Central Plateau East Coast Hawkes Bay Taranaki Wairarapa Wanganui Wellington Invalid Input		Nelson Canterbury Marlborough Otago West Coast Southland Fiordland Stewarts Island Invalid Input

Day Activity Region

Please enter the region/s where your Day Activity is located. Your Standard Advertisement will appear in these Region Listings.

North Island:		South Island:
Northland Auckland Coromandel Waikato Bay Of Plenty Central Plateau East Coast Hawkes Bay Taranaki Wairarapa Wanganui Wellington Invalid Input		Nelson Canterbury Marlborough Otago West Coast Southland Fiordland Stewarts Island Invalid Input

Day Activity Category

Please enter the category / categories that your Day Activity engages in. If your Activity Category is not in the list below there is a space at the bottom of this form where you can add your Activity Category.


Abseiling Animal Attractions Archery Art Galleries Canyoning Caving Cinemas Climbing Walls Culture / History Cycling / Mtn Bikes Dance Diving / Snorkeling Dramatic Arts Factory Tours Invalid Input		Fishing Fun Parks Go Karts / Buggies Horse Riding Ice Skating Jet Skiing Jet Boating Kayaking / Canoeing Kite Boarding Martial Arts Motorbikes / Quads Music Orienteering Paintball Invalid Input		Rafting Rock Climbing Ropes - High / Low Rowing Sailing Scenic Flights Snow Boarding Snow Skiing Surfing Swimming Ten Pin Bowls Thermal Pools Tramping Invalid Input

Services / Resources Category

Please select the category of your Service or Resource. If your category does not appear in the list below you may enter it in the space below marked "Comments".


Accommodation Caterers Entertainment Equipment - Buy / Rent Fundraising Restaurants / Food Outlets Transport Venues For Hire Invalid Input

Banner Upload

Please select the image you wish to use as the Banner at the top of your Premium Advertisement. Size must be: 530px wide x up to 300px high and no more than 600KB.

We only accept images in the following formats: .jpg .png, .tiff .bmp .psd

Banner Upload:

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Teaser Introduction

Please write an approximately 250 word description introducing your potential client/s to your business, product or service. To see an example click here.

Introduction: *

Please enter up to 250 words introducing your business / product or service.

Camp / Day Activity Description

Please write an approximately 750 - 1000 word description of your business, product or service. To see an example click here.

Description: *

Please enter a description of your business / product or service.

Facilities

Please list all facilities at your Camp, Day Activity or Service / Resource. To view an example click here.

Facilities:

Please list the Facilities that your Camp offers.

Activities

Please list all activities conducted at your Camp, Day Activity or Service / Resource. To see an example click here.

Activities:

Please list all the Activities that Campers will have available to them while at your camp.

Upload Images

You may upload up to 6 images which will be displayed on your Premium Advertisement. To view an example click here.

Images must be no more than 800px wide by 800px high and no larger than 10MB in size.

Image #1:	Invalid Input
Image #2:	Invalid Input
Image #3:	Invalid Input
Image #4:	Invalid Input
Image #5:	Invalid Input
Image #6:	Invalid Input

YouTube URL

If you have a video depicting your Camp, Day Activity or Service / Resource already uploaded to YouTube you mayb have it embedded into your Premium Advertisement.

YouTube URL:

Please enter the URL of the YouTube Video you wish to embed in your Premium Advertisement.

Terms Of Service and Privacy Policy

To have your Premium Advertisement Application approved you must read and agree to our Terms Of Service and Privacy Policy.

Terms Of Service *	Yes, I have read and agree to the Terms Of Service. You are required to read and agree to the Terms Of Service.
Privacy Policy *	Yes, I have read and agree to the Privacy Policy. You are required to read and agree to the Privacy Policy.

Additional Comments

If there is any additional information you wish to provide us with you may do so here.

Additional Comments:

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Are you human?

Please enter the characters exactly as you see them into the box.

In accordance with the Children's Online Privacy Protection Act a person must be 13 years of age or older to complete and submit this form.

Submission of this form is a Contractual Obligation and you will be invoiced accordingly.