X Contact Warrnambool City Council First name:* Last name: Organisation: Position in Organisation: Address (line 1): Address (line 2): Suburb: State: Postcode: Country (if outside Australia): Phone:* Email:* Event to be planned:* Organisation type:*CorporateAssociationGovernmentCorporate Meeting PlannerTravel AgentEvent OrganiserPCOInbound Tour Operator/DMCIncentive Company Event type:*Multi Day ConferenceSingle Day MeetingFunction/DinnerExhibition/Trade ShowProduct LaunchIncentive Programme Expected number of delegates:* Accommodation Required?:*YesNo If accommodation is required, what is the expected number of rooms: Proposed Arrival Date:* Proposed Departure Date:* Are these dates flexible?:*YesNo Are you considering other destinations?:*YesNo If you are considering other destinations, where did you have in mind: If you can, please provide a draft of your program: