Meeting Enquiry

Please note fields marked in pink are required to be completed to successfully submit this form.

• Phone:  +61 8 9326 7078
• Fax:  +61 8 9221 3344
• Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Section 1 - Contact Details

First Name
Last Name
Company Name
Company Address
Suburb & City
State / Postcode
Country
Phone
Fax
Website Address
Email Address
Preferred Contact Method	Email Phone Fax

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Section 2 - Event Details

Type of Event
Date of Event	D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Y 2011 2012 2014
Alternate Date	D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Y 2011 2012 2014
# of Days
# of Delegates
Room	- Caroline Orelia Georgiana Combined1 Anglesea1 Anglesea2 Combined2 Irwin
Room Layout	- - Workshop Banquet U shape Theatre Classroom Cocktail
Request Package	- Day Package
Additional Requirements	Breakout Rooms Theme for Venue Set-up Audio Visual Activities
Further event information

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Section 3 - Food & Beverage

Will Delegates require Breakfast?	Yes (please tick)
Will Delegates require Lunch?	Yes (please tick)
Will Delegates be having Private Dinner?	Yes (please tick)
Will Delegates require Coffee Breaks?	Yes (please tick)
Further catering information

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Section 4 - Accommodation

Will you require Accommodation?	Yes (please tick)
Number of rooms required
Check-in Date	D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Y 2011 2012 2014
Check-out Date	D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 M Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Y 2011 2012 2014

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Section 5 - General Information

Event Budget (if known)
I require a proposal by
First time client?	Yes (please tick)
Is this a roadshow or regular event?
Where did you find us?	-- Please select -- Newspaper/Magazine TV Email Marketing Internet Advertising Advantage Plus Member Yellow Pages Radio Check in Newsletter Word of Mouth Accor Google Search MSN Search Yahoo Search Other Search
If there was something exceptional we could do for this event, what would it be?
Further general information/requests
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