DINING BOOKINGS
Full Name
*
First Name
Last Name
E-mail
*
Contact Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postcode
Number of Guests
Payment Options
Please tick payment option:
*
Bank details for EFT (please use first name and surname as reference) BSB: 083 884 Account Number: 51 602 9955
Paypal
Credit Card
(Proceed to Check Out Below After Selection)
*
Course Admission $10.00
Reserved Upstairs Seating $50.00 (2 Course Meal Main & Dessert)
Select Quantity for Course Admission
Please Select
1
2
3
4
5
6
7
8
9
10
Select Quantity for Reserved Upstairs Seating
Please Select
1
2
3
4
5
6
7
8
9
10
Total Amount
If you are interested in the possibility of travelling by bus, please tick the location required to be picked up from:
Warrnambool
Colac
Terang
Please print off your receipt to present at the gate upon entry.
Submit
Should be Empty: