Education Booking Form  
  Please fill out the booking form below, and ensure you fill out as many fields as possible. A staff member will respond shortly with a booking confirmation. Cheques are to be made out the the Ararat Rural City.  
     
Contact Name   Phone
Email Address   Mobile Phone
Group/School Name   Fax
Postal Address   State
City   Postcode
Booking Date   No. Students
Booking Time   No. Adults
Year Level   Age of Students years of age
Further Comments  
Phone: 03 5352 1078 | Email: info@gumsan.com.au | Fax 03 5352 4906
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