www.parks.vic.gov.au Great Ocean Walk Permit Application A.B.N. 95 337 637 697 For all overnight hikers and groups intending to camp at Great Ocean Walk campsites. • Name of group (if applicable) • No. of People • No. of Vehicles • Name and address of leader Postcode • Telephone No. Work Mobile Home • E-mail • Emergency Contact Phone No. Person • Vehicle Registration/s • Camping Schedule: Night Date Camp Location No. of No. Tent Sites Group Campsite Comment People Required Area Required 1 2 3 4 5 6 7 - If preferred sites are unavailable, would you consider an alternative route suggested by park staff? INDIVIDUAL HIKE-IN TENT SITES GROUP CAMPING AREA No. of Nights: No. of Nights: No. of Tent Sites: Option 1: - Whole Area: Option 2: - Individual No of Tents: TOTAL PAYMENT REQUIRED(as per price schedule on next page) $ Your application will not be processed if incorrect fees are sent. It will be returned to you for amendment. Payment can be made by either cheque or money order (made payable to PARKS VICTORIA) by mail OR by Visa, or Mastercard. If paying by credit card please fill in the details below . If you choose to fax return this form you must include credit card details. Please do not fax this form and then send a cheque for payment - your application will not be processed. Cardholder’s name Expiry Date: / Type of card Visa Mastercard Number on Card Cardholders Signature (not required if sending by E-mail) APPLICATIONS CAN BE FORWARDED TO: Parks Victoria – Great Ocean Walk Level 10/535 Bourke Street Melbourne VIC 3000 Telephone: 13 1963 Facsimile: (03) 96134777 E-mail: [email protected] Fees Schedule 1/9/2011 – 31/8/2012 (Please note that prices listed are current up to the 31/8/2012. New prices will come into effect from 1/9/2012). INDIVIDUAL GREAT OCEAN WALK HIKE-IN TENT SITES $23.50 per tent site per night, plus $5.00 processing administration fee (non-refundable) Number of Tent Sites: No. of Nights 1 2 3 4 1 $28.50 $52.00 $75.50 $99.00 2 $52.00 $99.00 $146.00 $193.00 3 $75.50 $146.00 $216.50 $287.00 4 $99.00 $193.00 $287.00 $381.00 5 $122.50 $240.00 $357.50 $475.00 6 $146.00 $287.00 $428.00 $569.00 7 $169.50 $334.00 $498.50 $663.00 GROUP CAMPING AREA (Elliot Ridge, Blanket Bay, Cape Otway, Aire River and Johanna Beach) These more open campsite areas are ideally suited to walking groups requiring more than the maximum allowed four individual Hike-in Tent Sites (or for more than 12 people). A maximum limit of 16 people applies to the Group Camping areas. OPTION 1: $168.50 per night to book out an entire Group Area, plus $10.00 processing administration fee. No. of Nights Whole Site 1 $178.50 2 $347.00 3 $515.50 4 $684.00 5 $852.50 OPTION 2: Booking per individual tent within Group Area at $17.00 per tent (max. 3-person tent) per night, plus $10.00 processing administration fee. No. of Number of Tent Sites (Size limit of 3-person tent) Nights 1 2 3 4 5 6 7 8 1 $27.00 $44.00 $61.00 $73.00 $95.00 $112.00 $129.00 $146.00 2 $44.00 $78.00 $112.00 $146.00 $180.00 $214.00 $248.00 $282.00 3 $61.00 $112.00 $158.00 $214.00 $265.00 $316.00 $367.00 $418.00 4 $73.00 $146.00 $214.00 $282.00 $350.00 $418.00 $486.00 $554.00 5 $95.00 $180.00 $265.00 $350.00 $435.00 $520.00 $605.00 $690.00 .