Name:
Email address:
Contact phone number:
Proposed Date:
Day 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 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2008 2009 2010 2011 2012 2013 2014 2015
Number of Guests:
[select one] less than 10 between 10 and 20 between 20 and 40 between 40 and 60 more than 60
Preferred method of contact:
phone call to the number provided e-mail to the address provided
Preferred time of contact:
Anytime during business hours In the morning In the afternoon In the evening (after hours)
Special Requirements:
Contact Tina Dobb Tel + 61 7 4030 8797 Fax +61 7 4030 8788 Email events@reefcasino.com.au
