Port Campbell Surf Life Saving Club
Planning An Event at our Facilities

Anticipated Date of Event:     
1st Choice   2nd Choice  3rd Choice

Times for the Event:   Start Time
  End Time
  Event Duration


Name:
Surname:
Company:
Address:
City:
Telephone:
E-mail Address:
Room Requested: Meeting Room - 15 people or less
Function Room - 140 seated people
or 200 standing
Extra Facilities: Kitchen facilities needed
Bar facilities needed
Any Additional Information: In order to make your event successful, please indicate any other items that you think would be helpful for us to know regarding your planned event.