PLEASE PRINT OUT FOR COMPLETION
BOOKING FORM for 2001 NATIONAL
| SURNAME:_______________________________ | CHRISTIAN NAMES:____________________________ |
(preferred name) |
|
| ADDRESS:_________________________________ | ______________________________________________ |
| TOWN:___________________________________ | POSTCODE:___________________________________ |
| STATE/PROVINCE:________________________ | COUNTRY:____________________________________ |
| PHONE: | |
| HOME:(___)_______________________________ | WORK:(___)___________________________________ |
| MOBILE:_________________________________ | EMAIL:_______________________________________ |
| NO. OF PERSONS BOOKING:_______________ | |
| OTHER NAMES IN GROUP BOOKING: | SURNAME:____________CHRISTIAN NAMES:______ |
| NB Full names please | ______________________________________________ |
| If more space needed, please use reverse of form | ______________________________________________ |
| NAMES OF ATTENDEES AS YOU WISH THEM | TO APPEAR ON YOUR NAME TAGS |
| 1.__________________________________________ | 2._____________________________________________ |
| 3.__________________________________________ | 4._____________________________________________ |
| VEHICLE DETAILS: | |
| MAKE:_____________________________________ | MODEL:________________________________________ |
| DRIVER:____________________________________ | COLOUR:_______________________________________ |
| YEAR:______________________________________ | REGISTRATION NO.:_____________________________ |
| SPECIAL DIETARY REQUIREMENTS_________ | ______________________________________________ |
| DATES REQUIRED: | |
| ARRIVE:___________________________________ | LEAVE:________________________________________ |
ROOM PREFERENCE:
Twin Share Units: Twin Bed Unit (__), Double Bed Unit (__), Family Unit (__)
Two Bedroom Apartments (__) (consisting of 2 double bedrooms, lounge/dining, kitchen and large bathroom) suit 3 to 4 guests.
FLOOR PREFERENCE: Ground (__), First (__), Second (__)
SATURDAY OPTION: Your Choice of morning or afternoon Surfers Paradise Canal Cruise (only available on Saturday) at $25.00 per person.
Please indicate your preference of either morning or afternoon: AM c OR PM c
Please Note: A deposit of A$35.00 per person accompanying this form will confirm your bookings.
TOTAL DEPOSIT ENCLOSED: A$___________________________________________
On receipt of your deposit and Booking Form you will receive your confirmation receipt.
Please return form to:
Mrs J. Clarke
9 St Petersburg Place
Nerang Qld 4211
Australia