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Information Request Form
Complete the form below and a co-ordinator will contact you as soon as possible.

Full Name:

Company:

(if applicable)

Email:

Phone No:

Mobile:

Address:

Post Code:

Please contact
me regarding:

Floating Venues

Waterfront Venues

Event Date:

Day Month Year

Start Time :

Finish Time:

Number of Guests:

Budget:

- Total - Per Head

Comment:

How did you
find out about us?

Yellow Pages (book)	TV Advertising
Yellow Pages (online)	Word of mouth
Search Engine	Radio
DocklandsMelbourne site	Walked Past/Live/Work Local
Twitter	Return Customer
Facebook	Tourist Magazine
Another web site	Docklands Magazine
Other (specify)	International Magazine / Newspaper
	Print Ad (Other)

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Yes

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Privacy - your personal information will not be given / sold to a third party, and will be kept within Rivers

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corporate

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Wedding Function

Rivers Voyager - Function venue

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