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	Kioloa Coastal Campus

Kioloa Coastal Campus

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Staying @ Kioloa

To request a booking, please complete this form and press "Submit". Alternatively you can download a booking form here and fax it to Kioloa Bookings on 02 4457 1118.

ENQUIRIES:
Steve and Robin Berkhout
Kioloa Field Station
Phone/Fax: (02) 4457 1118
Email: resident-kioloa@anu.edu.au

Applicant (person):

Phone:	Mobile:	Fax:	Email:

Department, Centre, Organisation:

	Postcode:
For use by (fieldwork leader):

Phone:	Mobile:	Fax:	Email:

And (number of people):		staff	students
For the purpose of (brief details of reason for visit):

Required from:	Estimated time of arrival:
Required to:
Facilities required (accommodation prefeence, if any; lab facilities; field requirements):

Account (ANU Budget Code)/or write "other" if applicable:

[information regarding deposits and cancellation fees at: http://ejlf.anu.edu.au/kccinfo/tariffs.htm]
Nominated person to whom account should be sent if different to applicant:

Date application lodged:

Title:
URL:
Page last updated:
Page authorised by: Kioloa Coastal Campus Executive Officer

The Australian National University
CRICOS Provider Number 00120C - ABN Number: 522 34063906

Staying @ Kioloa