“Birraleeone"

Booking Form

 

NAME: 

 

NUMBER OF GUESTS:         Adults:                   Children: 

 

NUMBER OF NIGHTS:            

 

HOME ADDRESS:

                                                                   Postcode:

EMAIL:

 

PHONE:      Hme:                     Work:

 

BOOKING COST             $

 

 

DEPOSIT (50%)              $                 

BALANCE TO BE PAID $

         

DATE OF ARRIVAL                                      (After 3pm)

DATE OF DEPARTURE                               (Before 10am)

SPECIAL DIETARY NEEDS:

 

Phone: 02 9802 8252 

Jindabyne after NSW School holidays 6456 2362 

Mobile: 0407 420 007

Website: http://www.birraleeone.com/  Email: louise@birralee.com