PERSONAL DETAILS
Contact (First Name):
Contact (Last Name):
Company/ Organisation:
Address:	ACT NSW NT QLD SA TAS VIC WA Postcode:
Phone (9am-5pm):
Mobile:
Fax:
Email:	*required

EVENT DETAILS
Single date only	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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2006 2007 2008 2009 2010 2011 2012
Range of dates	From: 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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012     To: 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 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012
Please choose:	event type Workshop Meeting Conference
or other:
How many attending?
Please choose:	room set-up Boardroom style Workshop Theatre style Lecture set
or other:
Please briefly describe your event:
Technical requirements:	Whiteboard TV and video Data projector Projector Screen Overhead projector Flip chart Butchers paper Laser pointer Electronic whiteboard
Notes (extra requirements):
Do you require technical support?	Yes No
Please supply details of any equipment you are bringing:
If you require catering please choose:	Arrival tea and coffee Morning tea Lunch Afternoon tea Cocktail party/canapes Cash Bar Bar packages
No catering:
Comment:
Our Event Coordinator will contact you shortly to confirm date availability & discuss your event requirements."