Nightclub Booking Form
Complete the form below and we will contact you as soon as possible.
Organiser Name:
Email:

Required
Phone No (home):
Phone No (work):
Mobile:
Postal Address:
Post Code:
Event:
Date of Tour:
 Day Month Year
Departure Time:
Number of Guests:
 Number of Males Number of Females
Guest of Honour (Name):
Pick up location:
Melways Ref:
Phone No at Pick up location:
Select your Favorite Venues
Other Options

Food (Specify)
Mandate (Male review on land) $10p/p
Yarra Cruise (Male review on Boat & tour) $70p/p
Bowling $13p/p
Comics Lounge $10p/p
Private Stripper $150
Male Adult venue $10p/p

Proposed method of Deposit
If final payment is made on the night only Cash, Bank Cheque or Money order will be accepted
Questions or Comments
How did you find out about us?

Note: This form can be printed out and faxed to (03) 9889 2627 or simply click the submit button to email the form.

Verify booking
Please enter the image text into the box on the right

 

Please be aware that you must be over the age of 18 when completing this booking form.
Privacy - your personal information will not be given / sold to a third party, and will be kept within the Dreamscape Tours

 
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