APARTMENTS DOWN TOWN Bookings

(please complete entire form)

Your details:

First name:

Last name:

Address:

City/Suburb:

State:

Post Code:

contact Phone:

(e.g. 03 6234 5678)

Email:

Your stay:

Check In:
Check Out:
Accommodation:
Spa Apartment?:	No Yes (an extra AU$25.00 applies)
Apartment #:	(please indicate your preferred apartment)
Special Requests?:	(optional)
	(please note that all prices are in Australian dollars and include GST)

Once your booking is confirmed please either Pay Now (via Burnie HQ site)
or Send Payment
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