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If you have not registered with us then please enter your details and preferences below then click the button marked "Register Me!".
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Gender: M F
Date Of Birth (dd/mm/yy): / / (year may be blank)
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Suburb/Town/City:
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* Country:
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Please send me info from:
The bistroThe public barThe barThe bottleshop
The gaming roomThe lounge barThe restaurantThe nightclub
Accommodation   
Preferred days / nights out:
SundayMondayTuesdayWednesday
ThursdayFridaySaturdayAny day
Fridays after workLong weekends  
Types of drink enjoyed:
Local beerImported beerWineSpirits
Pre mixed drinksSoft drinksShotsCocktails
Premium beerChampagne  
My employment:
Corporate / officeHospitalityTradieHealth
RetailPublic sectorUni studentOther
Entertainment I enjoy:
RockAlternativeAcousticJazz
DanceCountryComedyHeavy
BluesPop80's music90's music
R&BClassicTop 40House
Hip HopOriginal bandsCover bandsLive DJs
Dinner showsOpen mikeCabaret showsPoetry reading
TriviaKaraokePool compsPoker
Movies   
I enjoy watching the following sports on the big screen:
AFLBoxingMotorsportsCricket
SoccerTennisGolfRugby Union
Rugby LeagueOne day cricket20 / 20 cricket 
My AFL team is:
Adelaide CrowsBrisbane LionsWestern Bulldogs
CarltonCollingwood MagpiesEssendon Bombers
Fremantle DockersGeelong CatsHawthorn Hawks
Melbourne DemonsNorth Melb KangaroosPort Power
Richmond TigersSt Kilda SaintsSydney Swans
West Coast Eagles  
My NRL Team is:
BroncosBulldogsCowboysDragons
EelsKnightsSea EaglesPanthers
RabbitohsRaidersRoostersSharks
StormWarriorsWests TigersGold Coast TITANS
My A-league soccer team is:
Perth GloryAdelaide UnitedMelbourne Victory
Newcastle JetsCentral Coast MarinersQueensland Roar
Sydney FCWellington Phoenix 
My UK Premier League team is:
Aston VillaArsenal BirminghamBlackburn Rovers
BoltonDerbyChelseaEverton
FulhamReadingLiverpoolManchester City
Manchester UnitedMiddlesbroughNewcastlePortsmouth
SunderlandTottenhamWiganWest Ham
Please notify me regarding:
Discounts and vouchersLive musicBistro information
Special eventsFood & Beverage specialsBottleshop specials
Keno PromotionsThe NightclubOver 28's
All entertainmentMembers party nightsWine tastings
Bistro specials (Lunch)Bistro specials (Dinner)Knock off drinks
TAB PromosDrink promotionsLong weekends
New BandsFunction roomBeer Tastings
How did you hear about our venue?
FriendPosterPassesSaw the pub
Gig guideLocal paperYellow pagesWebsite
MySpaceRadioTV 
If you could change one thing about our venue, what would it be?
Anniversary Date (dd/mm/yyyy)
Pick Date@:
 

The Courthouse Hotel does not disclose any personal contact information provided on this form for use by a third party, in compliance with the National Privacy Act and relevant Anti Spam Act.