BUDGET ACCOMMODATION BOOKING FORM

   Thank you for taking the time to complete this Booking application form, this is only a tentative booking. You should receive confirmation of your booking within the next 24hrs via email or by telephone if you so require. If you would prefer us to telephone you with your confirmation please fill in the space provided with your phone No. We thank you for your booking and hope that your stay in Tasmania will be an enjoyable one. Thank you.

"BOOKING DETAILS"
Location: ------------------------------------------------------------- Unit Cottage Name: ----------------------------------------------------------------- Address 1: ----------------------------------------------------------- Address 2: ----------------------------------------------------------- City: -------------------------------------------------------------------- State: ------------------------------------------------------------------ Choose State ACT New South Wales Northern Territory Queensland South Australia Tasmania Victoria Western Australia OTHER Post Code: ---------------------------------------------------------- Country: -------------------------------------------------------------- How Many Adults: ----------------------------------------------- How Many Children: ------------------------------------------- How many nights: ----------------------------------------------- Arrival Date: ------------------------------------------------------- Departure Date: -------------------------------------------------- Any Special Needs: -------------------------------------------- Telephone No: ---------------------------------------------------- Email Address: ----------------------------------------------------
ONLY "CLICK" the "SUBMIT" button the once!