BOOKINGS

Please complete all relevant sections

before clicking the SUBMIT BUTTON at the bottom.

Alternatively, Fax the completed form to +64 3 579 3398

After each typed entry, press the TAB key to go to the next entry area.

 

Your name:

Postal Address:

Town/City:

Country:

Postal Code:

Telephone Home:

Telephone Business:

Fax:

Email address:

I would like to         Request Further information                                Make a reservation request

 

TARIFF: BED & BREAKFAST

Double: From $90 per night                     Queen Ensuite

        Single: From $60 per night                      Single

 

Number of persons:                    

Date of arrival:                              

Date of departure:                         

 

CREDIT CARD DETAILS

Which credit card:     EFTPOS     VISA     MASTERCARD

Card Number:          

Name on card:          

Expiry Date:                       

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Marlborough, New Zealand