'; if (stristr($str,$word)) $nb++; return $nb; } function isNumber($str) { if(is_numeric($str)) return true; else return false; } $form_18_class='form_18_error'; $form_18_error=''; $form_18_spam=0; $form_18_td_287_class='form_18_info'; $form_18_td_287_error=' '; $form_18_td_287_value=''; $form_18_td_288_class='form_18_info'; $form_18_td_288_error=' '; $form_18_td_288_value=''; $form_18_td_289_class='form_18_info'; $form_18_td_289_error=' '; $form_18_td_289_value=''; $form_18_td_290_class='form_18_info'; $form_18_td_290_error=' '; $form_18_td_290_value=''; $form_18_td_291_class='form_18_info'; $form_18_td_291_error=' '; $select_715_value='I_agree_to_sign_up'; $select_715_checked='0'; if ('sK2kCUcu'==my_get_post('form_18_submit')) { $form_18_error_string='There are errors which need correction.'; $form_18_td_287_error_class='form_18_error'; $form_18_td_287_error_must='Error: This field is required!'; $form_18_td_287_error_spam='Error: http: < > are not allowed!'; $form_18_td_287_value=my_get_post('Your_Name' ,true); $form_18_body.='Your_Name : '.my_get_post('Your_Name')."\r\n"; if (''==trim(my_get_post('Your_Name'))) {$form_18_td_287_class=$form_18_td_287_error_class; $form_18_td_287_error=$form_18_td_287_error_must; $form_18_error=$form_18_error_string;} $form_18_td_287_spam=form_18_count_spam(my_get_post('Your_Name')); if ($form_18_td_287_spam>0) { if ($form_18_td_287_class!=$form_18_td_287_error_class) {$form_18_td_287_class=$form_18_td_287_error_class; $form_18_td_287_error=$form_18_td_287_error_spam; $form_18_error=$form_18_error_string;} $form_18_spam += $form_18_td_287_spam; } $form_18_td_288_error_class='form_18_error'; $form_18_td_288_error_must='Error: This field is required!'; $form_18_td_288_error_validation='Error: This field must be an email!'; $form_18_td_288_error_spam='Error: http: < > are not allowed!'; $form_18_td_288_value=my_get_post('Your_email_address' ,true); $form_18_body.='Your_email_address : '.my_get_post('Your_email_address')."\r\n"; if (''==trim(my_get_post('Your_email_address'))) {$form_18_td_288_class=$form_18_td_288_error_class; $form_18_td_288_error=$form_18_td_288_error_must; $form_18_error=$form_18_error_string;} if ($form_18_td_288_class!=$form_18_td_288_error_class && ''!=trim(my_get_post('Your_email_address')) && !isEmail(my_get_post('Your_email_address'))) {$form_18_td_288_class=$form_18_td_288_error_class; $form_18_td_288_error=$form_18_td_288_error_validation; $form_18_error=$form_18_error_string;} $form_18_td_288_spam=form_18_count_spam(my_get_post('Your_email_address')); if ($form_18_td_288_spam>0) { if ($form_18_td_288_class!=$form_18_td_288_error_class) {$form_18_td_288_class=$form_18_td_288_error_class; $form_18_td_288_error=$form_18_td_288_error_spam; $form_18_error=$form_18_error_string;} $form_18_spam += $form_18_td_288_spam; } $form_18_td_289_error_class='form_18_error'; $form_18_td_289_error_must='Error: This field is required!'; $form_18_td_289_error_spam='Error: http: < > are not allowed!'; $form_18_td_289_value=my_get_post('Business' ,true); $form_18_body.='Business : '.my_get_post('Business')."\r\n"; if (''==trim(my_get_post('Business'))) {$form_18_td_289_class=$form_18_td_289_error_class; $form_18_td_289_error=$form_18_td_289_error_must; $form_18_error=$form_18_error_string;} $form_18_td_289_spam=form_18_count_spam(my_get_post('Business')); if ($form_18_td_289_spam>0) { if ($form_18_td_289_class!=$form_18_td_289_error_class) {$form_18_td_289_class=$form_18_td_289_error_class; $form_18_td_289_error=$form_18_td_289_error_spam; $form_18_error=$form_18_error_string;} $form_18_spam += $form_18_td_289_spam; } $form_18_td_290_error_class='form_18_error'; $form_18_td_290_error_must='Error: This field is required!'; $form_18_td_290_error_validation='Error: This field must be a number!'; $form_18_td_290_error_spam='Error: http: < > are not allowed!'; $form_18_td_290_value=my_get_post('Telephone_No' ,true); $form_18_body.='Telephone_No : '.my_get_post('Telephone_No')."\r\n"; if (''==trim(my_get_post('Telephone_No'))) {$form_18_td_290_class=$form_18_td_290_error_class; $form_18_td_290_error=$form_18_td_290_error_must; $form_18_error=$form_18_error_string;} if ($form_18_td_290_class!=$form_18_td_290_error_class && ''!=trim(my_get_post('Telephone_No')) && !isNumber(my_get_post('Telephone_No'))) {$form_18_td_290_class=$form_18_td_290_error_class; $form_18_td_290_error=$form_18_td_290_error_validation; $form_18_error=$form_18_error_string;} $form_18_td_290_spam=form_18_count_spam(my_get_post('Telephone_No')); if ($form_18_td_290_spam>0) { if ($form_18_td_290_class!=$form_18_td_290_error_class) {$form_18_td_290_class=$form_18_td_290_error_class; $form_18_td_290_error=$form_18_td_290_error_spam; $form_18_error=$form_18_error_string;} $form_18_spam += $form_18_td_290_spam; } $form_18_td_291_error_class='form_18_error'; $form_18_td_291_error_must='Error: This field is required!'; $form_18_body.='agree : '.my_get_post('agree')."\r\n"; if (my_get_post('agree') == $select_715_value) $select_715_checked=1; else $select_715_checked=0; if ($select_715_checked!=1) {$form_18_td_291_class=$form_18_td_291_error_class; $form_18_td_291_error=$form_18_td_291_error_must; $form_18_error=$form_18_error_string;} if (''==trim($form_18_error) && 0==$form_18_spam) { $receiver='info@rushworthfestival.org'; $subject='Participating Outlet Online Agreement '; if (isEmail( $form_18_td_289_value )) $header='From: '.$form_18_td_289_value; $subject= substr($subject, 0, 255); $subject=str_replace("\n", " ", $subject); $subject=str_replace("\r", " ", $subject); $body=str_replace("\n.", "\n..", $form_18_body); if ($body!="") { $result=mail($receiver,$subject,$body,$header); if (!result) { echo 'ERROR: The PHP mail function mail($receiver,$subject,$body,$header); does not work properly on your server, please contact your web hosting.'; exit; } } if ($result) { $url='http://www.rushworthfestival.org/index.htm'; if (!headers_sent()){ header('Location: '.$url); exit; }else{ echo ''; echo ''; exit; } exit; } } if (trim($form_18_error)) $form_18_error="$form_18_error"; } if ($form_18_spam >= 3) sleep(20); if ($form_18_spam >= 3) $form_18_td_287_value=''; if ($form_18_spam >= 3) $form_18_td_288_value=''; if ($form_18_spam >= 3) $form_18_td_289_value=''; if ($form_18_spam >= 3) $form_18_td_290_value=''; if ($form_18_spam >= 3) $select_715_checked='0'; ?> Rushworth Easter Heritage Festival Inc.
Rushworth Easter Heritage Festival Inc.

       

 

Participating Outlet Agreement

Participating Outlet Agreement

 

By registering my email address and business name below, I acknowledge that I am a duly authorised representative for the business, and

agree to accept tokens produced by the Rushworth Easter Heritage Festival Inc. to the value of $10 per token in exchange for goods or

services to the person presenting the token. 

 

I agree to treat the token as cash and will provide change where the value of the good or service is less than that of the token.

I understand that when the tokens are presented to the Rushworth Easter Heritage Festival Inc, that they will exchange the

tokens for Australian legal tender to the value of the tokens exchanged.

 

It is understood that the tokens are not transferable, nor exchangeable for cash.  The bearer of the token has the right to spend

as much or as little in the store as they wish & where change is due, will receive that change in Australian legal tender to the

value of no more than $9.95.   

 

I also understand that to be a participating outlet, the business must have business membership with the Rushworth Easter

Heritage Festival.  If I accept tokens and not a paid-up business member, the Rushworth Easter Heritage Festival may

recover the $10 membership fee when re-embursing for any tokens that the business is exchanging for cash.

Agreement to become a Participating Outlet
Your Name
Your email address:
Business Name
Telephone No