Existing Member
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New Member
If you have not registered with us then please enter your details and preferences below then click the button marked "Register Me!".
First Name:
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Gender: M F
Date Of Birth (dd/mm/yy): / / (year may be blank)
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* Country:
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Email:
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(H&L) Sales History:
Please send me info from
The bisrtoThe public barThe bar
The gaming roomAccommodation
Preferred days / nights out
SundayMondayTuesdayWednesdayThursday
FridaySaturdayAny dayFridays after work
Long weekends
Types of drink enjoyed
Local beerImported beerWineSpirits
CocktailsChampagne
My employment
Corporate / officeHospitalityTradie
HealthRetailPublic sectorUni student
Other
Entertainment I enjoy
RockAlternativeR&BTrivia
I enjoy watching the following sports on the big screen
AFLRugbyBoxingMotorsportsCricket
SoccerTennisGolfRugby Union
Rugby LeagueOne day cricket20 / 20 cricket
Please notify me regarding
Discounts and vouchersBistro information
Special eventsFood & Beverage specials
Gaming PromotionsBistro specials (Lunch)
Bistro specials (Dinner)Drink promotions
Long weekendsFunction room
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
 

Reserve Hotels - Trading as Chamberlain 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.