Wave Rock Hotel Motel

Request for Booking On-line

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and data protection

Email address:
Surname:
First name:
Address:
Street:
City/Suburb:
State:
Postcode:
Country:
Phone Contact:
Work Hours:
After Hours:
Mobile:

Select the Booking
type you require
Single :
Twin or Double :
Triple :
Family :
Executive Suite Single :
Executive Suite Double :

Additional details required
Number of adults:
Number of children:
Number of infants:
Date of arrival:
Estimated time of arrival: 
Date of departure:

Additional Comments:

Payment Instructions

Please accept my request for booking,
and payment for the first nights accommodation by way of deposit.

Cheques must be received within 7 days
of this being placed and at least 7 days from the
start date of the booking - or bookings will not be kept.

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