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Please enter your full name Please enter your e-mail address Please enter your phone number Please enter your fax number Address City State Arrival Date and Time - 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st - January February March April May June July August September October November December - 6.00am 6.15am 6.30am 6.45am 7.00am 7.15am 7.30am 7.45am 8.00am 8.15am 8.30am 8.45am 9.00am 9.15am 9.30am 9.45am 10.00am 11.15am 11.30am 11.45am 12.00pm 12.15pm 12.30pm 12.45pm 1.00pm 1.15pm 1.30pm 1.45pm 2.00pm 2.15pm 2.30pm 2.45pm 3.00pm 3.15pm 3.30pm 3.45pm 4.00pm 4.15pm 4.30pm 4.45pm 5.00pm 5.15pm 5.30pm 5.45pm 6.00pm 6.15pm 6.30pm 6.45pm 7.00pm 7.15pm 7.30pm 7.45pm 8.00pm 8.15pm 8.30pm 8.45pm 9.00pm 9.15pm 9.30pm 9.45pm 10.00pm 10.15pm 10.30pm 10.45pm 11.00pm 11.15pm 11.30pm 11.45pm 12.00am Departure Date - 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st - January February March April May June July August September October November December Preferred Room Style Single Double Twin Deluxe Spa Deluxe Attic Number of Guests 1 2 3 4 5 6 More than 6 Other Information The Racecourse Inn 114 Marlborough Street Longford, 7301 Tasmania, Australia E-mail: innbaker@vision.net.au Phone (03) 6391 2352 Fax (03) 6391 2430 International Phone +61(3) 6391 2352 International Fax +61(3) 6391 2430