Brothel Tenant Declaration

Business name(Required)

Business address(Required)

Street Address City State Postcode Country

ABN(Required)

Name of Building Owner(Required)

First Last

Business email address(Required)

Declaration(Required)

Select exactly 3 choices.

I declare that my/our business and/or partner(s) have NO affiliations with any Outlaw Motor Cycle Gang (OMCG), nor any memberships with any motorcycle social clubs.

We are a legal operation and hold the relevant license applicable to our occupation and business activities.

We don’t use flame candles anywhere on the premises.

Name(Required)

Position(Required)

CAPTCHA

URL

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