SYDNEY HOTEL
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:
Departure Date:
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
Do you require a heater?
Do you require an extra mattress?
Do you require dinner? (Click here to see a MENU)
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 :

Hotel facilities | Rates | Bookings | In the Area | Getting Here | Guest book | Links | Contact us
HOMEPAGE



� Copyright Glenferrie Lodge.
Updated: June 2003



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