Phone/Answering Machine:
+61 (0)8 9437 578O
Fax:
+61 (0)8 9437 5781
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CONTACT DETAILS:
First Name
*
Surname
*
Phone Number
*
Fax Number
Address
*
Email
*
BOOKINGS OR ENQUIRY DETAILS:
Booking
Enquiry
Arrival Date (eg. 12 Feb 2010)
*
Departure Date (eg. 19 Feb 2010)
*
Total number of nights (e.g. 7)
*
Number of adults (15 yrs & over)
*
Number of children (under 15 yrs)
*
Do you require the 2 bedroom or 1 bedroom apartment?
*
CREDIT CARD DETAILS:
(complete details if making a booking)
Card Holder's Name
*
Card Type (Visa & MasterCard)
*
Credit Card Number
*
Expiry Date
*
Additional comments:
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