Interest Form

	*Required
*First Name:
*Last Name:
Company name (if applicable):
Telephone number:
Work/Office Number:
Mobile Number:
*Email address:
Postal Address:
Suburb:
State:
*Postcode:
The Occasion/Event(s):
Preferred Date:
Estimated Number Of People:
Special Requests (dietary, wheel chair etc):

Additional Services Needed: (Tick Boxes)
	Floral Arrangements		Wedding Cakes		Wedding Coordination		Wedding Gowns
	Event Coordination		MC		DJ		Suit Hire
	Invitation Design		Car Hire		Accommodation		Hair Dressing
	Photography		Musician		Entertainment

Where did you hear about The Palais Function Centre? (Tick Boxes)
	Bridal Magazine		Local News Papers		Word of Mouth
	Yellow Pages Online		Sydney Newspapers		Where present at a Function
	Yellow Pages - Book		Local Telephone Directory		Bill Board
	White Pages		Internet Advertisement
Other (or please be more specific):
Additional Comments: