Mercure Ballarat Hotel & Convention Centre Meeting Enquiry

You can make a meeting enquiry by calling or emailing us or you can fill in the online enquiry form below. The fields marked in pink are mandatory.
•    Phone: +61 3 5327 1290
•    Fax: +61 3 5327 1293
•    Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Section 1 - Contact Details

Full Name
Company Name
Company Address
Suburb & City
State / Postcode
Country
Phone
Fax
Website Address
Email Address
Preferred Contact Method	Email Phone Fax

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Section 2 - Event Details

Type of Event
Date of Event
Alternate Date
# of Days
# of Delegates
Room	- Adelphi Theatre Prince Regent Room Midas Room Morning Star Barkly Boardroom Syndicate Rooms 1 and 2 Stables Complex The Conservatory Eureka Ballroom Sovereign Ballroom Convention Centre R1 Convention Centre R2 Convention Pre-function The Victoria 1 and 2
Room Layout	- U shape Theatre Class Boardroom Cabaret Banquet Cocktail
Request Package	- Cash Back Offer
Additional Requirements	Breakout Rooms Theme for Venue Set-up Audio Visual Activities
Further event information

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Section 3 - Food & Beverage

Will Delegates require Breakfast?	Yes (please tick)
Will Delegates require Lunch?	Yes (please tick)
Will Delegates be having Private Dinner?	Yes (please tick)
Will Delegates require Coffee Breaks?	Yes (please tick)
Further catering information

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Section 4 - Accommodation

Will you require Accomodation?	Yes (please tick)
Number of rooms required
Check in date
Check out date

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Section 5 - General Information

Event Budget (if known)
I require a proposal by
First time client?	Yes (please tick)
Is this a roadshow or regular event?
Where did you find us?	- Newspaper/Magazine TV Email Marketing Internet Advertising Advantage Plus Member Yellow Pages Radio Check in Newsletter Word of Mouth Accor Google Search MSN Search Yahoo Search Other Search
If there was something exceptional we could do for this event, what would it be?
Further general information/requests
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