Elite Online Inquiry Form

WA Museum Event Enquiry Form
Client Name*

First NameLast Name
Company*
If not associated with a company/organization, please enter your first and last name.
Company Type*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Extension
E-mail*
Type of Event*
Event Type ID
Event Name*
Event Start Date*

MonthDayYear
Event End Date (if multi-day)

MonthDayYear
Are These Date(s) Flexible?*

YesNoOther
Alternate Start Date

MonthDayYear
Number of Attendees*
Whole numbers only, not a range
How did you hear about us?*
If 'Other' please specify
Space(s) Requested:*

WA Museum Boola Bardip – Studio 1WA Museum Boola Bardip – Studio 2WA Museum Boola Bardip – Studio 3WA Museum Boola Bardip – Hackett HallWA Museum Boola Bardip – Epoch CaféWA Museum Boola Bardip – City RoomWA Museum Boola Bardip – Level One (Special Exhibitions Gallery Level)WA Museum Boola Bardip – Level TwoWA Museum Boola Bardip – Level ThreeWA Maritime Museum – Function Centre & BalconyWA Maritime Museum – Australia II GalleryWA Maritime Museum – BoardroomWA Maritime Museum – Theatre
Do You Require Food & Beverage Services?*

YesNo
Describe F&B Needs
Plated, cocktail, all day conference catering, other
Will your event have alcohol served or sold?*

YesNo
Do You Require Audio/Visual Services?*

YesNo
Describe A/V Needs*
Is your event ticketed?*

YesNo
What is your estimated budget for the event?
Is there anything else you would like us to know?
Additional Comments or Information
Should be Empty:

WA Museum Event Enquiry Form