Accommodation Form - External

Personal/Accommodation Details

Purpose of Stay*

Name*

Phone*

Fax

Mobile

Email*

Accommodation Dates

Date Entering*

Date Exiting*

Meals

Breakfast Dinner

Payment Details

Company Name*

Billing Contact Information

Contact Name*

Address*

Phone*

Mobile

Fax

Email*

ABN*

Payment Method

I have read and agree to abide by the Accommodation Residential Regulations. I also agree that if I fail to occupy the room, lose or fail to return the room key the applicable fees will be charged.