Accommodation Request

Contact details

Title:

First name: *

Surname: *

Date of birth (DD.MM.YYYY): *

Organisation or school name (if relevant):

ABN (if relevant):

Postal address: *

Suburb: *

State: *

Post code: *

Phone (no spaces):

Mobile (no spaces): *

Email: *

Please advise if you have any access requirements:

Please advise if you have any health conditions that need to be noted (this will be kept confidential):

Course details

If you are attending a training course delivered at the Muresk Institute please provide the details below.

Course name:

Education/training provider (if known):

Commencement date (DD.MM.YYYY):

Student number (if known):

Next of kin

If under 18 years of age at commencement of studies, it is compulsory to supply parent/guardian details as your next of kin.

Title:

First name:

Surname:

Relationship with student (parent/guardian etc):

Street address:

Suburb:

State:

Post code:

Work phone (no spaces):

Mobile (no spaces):

Email:

Please tick this box if you are under 18 and have obtained parent/guardian permission to stay at the Muresk Institute overnight. Parent/guardian may be contacted to verify permission.

Accommodation package

Select your accommodation package *

Short term accommodation and meal selection

Accommodation selection

Select from the options below. All options are subject to availability.

Select occupancy type:

Check in date (DD.MM.YYYY):

Check out date (DD.MM.YYYY):

Total number of nights:

Total accommodation cost: $

Meal selection

Select from the options below. All options are subject to availability.

Continental breakfast ($15.00 per person):

Cooked breakfast ($20.00 per person):

Sandwiches ($13.00 per person):

Self-serve lunch ($24.00 per person):

Buffet dinner ($32.00 per person):

Total meal cost: $

Total accommodation and meal cost: $

Requests

Please advise if you have any dietary requirements:

Notes/other requests (for consideration):

Terms and conditions

I understand:

Muresk Institute will endeavour to accommodate requests where possible
Muresk Institute reserves the rights to allocate accommodation according to operational demands
If my booking is cancelled any initial booking fee and deposit will not be refunded and additional charges may apply
If I do not show up for my booking or terminate my booking early after check in I will be required to pay Muresk Institute the full balance of the booking outstanding

I have read, understand and agree to the Muresk Institute terms and conditions.

For more information contact Muresk Institute on 1300 994 031 or at Muresk@dtwd.wa.gov.au.

Once your request has been received, we will contact you to confirm your booking.