Grand Mercure Mount Lofty House
74 Mt Lofty Summit Road,
Crafers, SA 5152
08 8339 6777
relax@mtloftyhouse.com.au

• Conference Rooms
• Conference Enquiry

conference enquiry

• Phone +61 8 8339 6777
• Fax +61 8 8339 5656
• Email events@mtloftyhouse.com.au

Use the enquiry form below as a guide for your conference enquiry.
Green fields are mandatory, all others are optional.

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SECTION 1: CONTACT DETAILS
Full Name
Last Name
Company Name
Company Address
Suburb & City
State / Postcode
Country
Phone
Fax
Website Address
Email Address
Preferred method of contact	Email Phone Fax

SECTION 2: EVENT DETAILS
Type of Event
Date of Event
Alternate Date
# of Days
# of Delegates
Room	-- Please select -- A. W. Lounge Piccadilly Private Piccadilly Alfred’s Lounge Coach House John Richardson
Room Layout	-- Please select -- Theatre Class U-shape Banquet Boardroom Cocktail
Request Package
Additional Requirements	Breakout Rooms Theme for Venue Set-up Audio Visual Activities
Further event information

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

SECTION 4: ACCOMMODATION
Will you require Accommodation?	Yes (please tick)
Number of rooms required
Check in date
Check out date

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?	-- Please select -- 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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