Premium Listings Form

Type of Listing?	A New Listing An Upgrade from a Basic Listing Upgrade from a Picture Listing Changes to a Current Premium Listing
DETAILS THAT WILL APPEAR IN YOUR LISTING:
First Name*
Last Name*
B&B Name*
Category*
Tourist Region*	Select a Tourist Region --- NSW --- Blue Mountains - NSW Capital Country - NSW Central Coast & Hawkesbury - NSW Central West - NSW Holiday Coast - NSW Hunter Valley & Coast - NSW Lord Howe Island - NSW New England & the North-West - NSW Snowy Mountains - NSW Southern Highlands & Illawarra - NSW Sydney - NSW The Murray - NSW The Outback - NSW The Riverina - NSW The South Coast - NSW Tropical North Coast - NSW --- ACT --- ACT --- VIC --- East Gippsland - VIC Gouldburn & Murray - VIC Grampians & Central West - VIC Mallee Country - VIC Melbourne - VIC Mornington Peninsula - VIC Phillip Island & Gippsland South-West Coast - VIC Spa & Garden Country - VIC The Goldfields - VIC The High Country - VIC Werribee & Bellarine Peninsula - VIC Yarra & Dandenongs - VIC --- SA --- Adelaide - SA Adelaide Hills - SA Barossa Valley - SA Clare Valley & the Mid-North - SA Eyre Peninsula & Nullarbor - SA Flinders Ranges & Outback - SA Fleurieu Peninsula - SA Kangaroo Island - SA The Murray - SA The South-East - SA Yorke Peninsula - SA --- WA --- Darling Ranges & Swan Valley - WA Esperance & Nullarbor - WA Great Southern - WA Outback Coast & Mid-West - WA Perth - WA Rottnest Island - WA The Goldfields - WA The Heartlands - WA The Kimberley - WA The Pilbara - WA The South-West - WA --- NT --- Darwin Region - NT Gulf to Gulf - NT Kakadu & Arnhem Land - NT The Red Centre - NT --- QLD --- Brisbane - QLD Brisbane Hinterland - QLD Brisbane Islands - QLD Capricorn - QLD Darling Downs - QLD Fraser Island & Coast - QLD Gold Coast & Hinterland - QLD Great Barrier Reef - QLD Outback & Gulf Country - QLD Sunshine Coast - QLD The Far North - QLD The Mid-Tropics - QLD --- TAS --- Bass Strait Islands - TAS Hobart - TAS Midlands & the North - TAS South-West Wilderness - TAS The East Coast - TAS The North-West - TAS The South-East - TAS
Host/s*
Distance from nearest city
Street Address*
Address (cont.)
City / Town*
State*	Select a State NSW QLD ACT WA TAS NT SA VIC
Postal Code*
Postal Address: (If different from above)
Phone*
FAX
Mobile
E-mail*
URL / web address
Rates / Tariff
Rating
Number of Cottages
Max. number of Guests
Number of Bed Rooms
Number of Bathrooms
Services & amenities
Restrictions
Breakfast*
Other Meals
Payments Accepted
Handicap Access
Nearby activities / sights
Short description  (Max. 30 words) (This will appear on the tourist regional page)
Longer description (Max. 250 words) (This will appear on your detailed main page)
PICTURE DETAILS:
Brief description for Picture 1*
Brief description for Picture 2*
Brief description for Picture 3*
Brief description for Picture 4*
Helpful Information regarding the four Pictures:	Please send four pictures/images either by email, post, or with your permission we can obtain the picture from your website.   The picture should be in landscape or horizontal layout rather than vertical or portrait layout.   The preferred electronic format is .jpeg but we can convert most formats.   If you are sending the picture by email please send it to mailto:ozbnb@swiftdsl.com.au
How will we obtain the Pictures?	I will send the pictures by email. I will send the pictures by post. Please copy from my website (see info below)
Web address where my pictures can be found. Or brief description to help us ID the correct photos. (Only needed if you want us to copy the pictures from YOUR website)	Picture 1: Picture 2: Picture 3: Picture 4:
When will you send the pictures?	Today In the next 2-3 days Later
Where did you hear about us?