BOOK YOUR ROOM ONLINE
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ONLINE BOOKING REQUEST FORM
Please complete the following form to make a preliminary reservation. We will contact you to finalise your booking.
Please allow up to 48 hours for us to respond to your reservation request.
Name:
Address:
City
State
Country
Phone
Fax
Email
Arrival Date:
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Departure Date:
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Length of Stay:
0 days
Arrival Time:
Type of Room required:
Dorm (3 beds)
Single Economy
Single Standard
Single Plus
Single Deluxe
Twin
Double
Queen
Queen Deluxe
Names of additional guests:
Do you require a TV
Yes
No
Do you require a heater?
Yes
No
Do you require an extra mattress?
Yes
No
Do you require dinner?
(
Click here to see a
MENU
)
Yes
No
A $50 DEPOSIT IS REQUIRED TO SECURE A BOOKING:
a) Payment by Credit Card :
VISA, MASTERCARD or BANKCARD only
Full name on Credit Card :
Type of Credit Card :
Credit Card Number :
Credit Card Expiry:
b) Pay by cheque
(Click here
for our
MAILING ADDRESS
)
:
c) Pay by bank deposit
(We'll email you our bank account details)
:
Additional requirements/comments:
How did you hear about us :
Internet
Friend
Brochure
Tourist Office
TNT Magazine
Previous Guest
College/Uni
Hotel facilities
|
Rates
|
Bookings
|
In the Area
|
Getting Here
|
Guest book
|
Links
|
Contact us
HOMEPAGE
� Copyright Glenferrie Lodge.
Updated: June 2003
Content & Online Marketing by:
Ideal Media