Agent Booking Form

Agent Business Name

Agent Contact Person*

Agent Email Address*

Agent Contact Number*

Agent Address*

Agent State*

Clients First Name*

Clients Last Name*

Contact Phone Number*

Contact Mobile Number

Event Address*

Event City*

Event State *

Event Date*

Start time*

Finish time*

Event Type

Golf Type

Delivery

Yes No

Supervision

Yes No

Payment Method

Invoice To*

Hire Fee*

Deposit

Balance

Message

Please use one of the payment options below. An invoice will be sent for payment.

Bank transfer
Mini Golf Hire
BSB 063 245
Account No 1033 5274

Cheque or Money Order:
Payable to Mini Golf Hire.
PO Box 4075
Knox City VIC 3152.

Credit Card: We accept Master Card, Visa and AMEX.
For security purposes, please use fax or phone.

Head office
Mini Golf Hire
3/31 Rushdale Street
Knoxfield VIC 3180.

Mailing Address:
PO Box 4075
Knox City VIC 3152.

Phone: 1 300 137 967
Fax: (03) 9763 4439

ABN: 3182901353
ACN: 082901353

Email: minigolfhire2@bigpond.com
Website: http://www.minigofhire.com.au