Booking Enquiry Details:
Company Name		Has Your company had a conference held at the Rockpool Motor Inn before? YES NO
Title Please Select Mr. Miss Ms. Dr.		Name
Address		Suburb
State		Country	Post Code
Phone		Fax
		E-Mail Address

Arrival Details:
Start date of conference

Number of Guests	Setup Style
Guest	Setup Style

Food and Beverage requirements
Arrival Tea/Coffee
Morning Tea
Working Lunch
Afternoon Tea
Pre Dinner Drinks
Dinner
Audio - Visual Requirements
Electronic Whiteboard
Flipchart
Screen
OHP
ISDN
Lighting
Radio Microphones
TV/Video
Special Requirements
Would you like us to send you a full conference kit?	NO YES
Rooms:
Room Type: Please Select Executive (Bridal) spa suite Executive spa suite Deluxe room Easy Access Room Interconnecting Units			Number of Rooms: Please Select 1 2 3 4 5 6 7 8 9 10

Please indicate how you would like to receive the conference booking confirmation:
Please select one of the following options: Email Fax Post Phone

Where did you hear about the Rockpool Motor Inn Web site? Please select one of the following options: From search engine From another web site From a recommendation of a friend or family member Highway Signs