• Who is submitting this form?

Your Name:
Address:
	State: VIC ACT NSW NT QLD SA TAS WA Postcode:
Contact E-Mail:
Business Phone:	(Please include area code)
Facsimile:	(Please include area code)
After Hours Phone:	(Please include area code)
Mobile Phone:

• Are you booking on behalf of a group?
  

  If so, what is the name of your group?

• What are your proposed dates for your visit to Mt.Stirling?

Days Visiting	Date of Visit (dd/mm/yyyy)
First Day	on
Last Day	on

• How many in your group?
  

  Adults
  Children 15 yrs and Under

   

• Ski Hire - Level of Equipment Required

  Standard  Metal Edged Touring Skating XCD / Telemark

• Ski School - Lessons Required

  Beginner  Intermediate Advanced

Special Requests

Stirling Experience will reply within 24 hours of receiving your enquiry, providing a firm quote and confirmation of your booking.

Please Note: Resort entry fee is additional to the above costs.

(If your are not comfortable with submitting this information via the Internet or; do not have the facility to do so, then please fill out the above details, print out the page and fax the hard copy to 03 5777 3705.)