Monday - 06th of September 2010

To make a booking, complete the form below, including as many details as possible.

Alternatively, you can email us directly with your request or you can print the form and post or fax it to us:

Ph: +617 41 648147
Fax: +617 41 648147
Ken and Carolyn Stone
‘Passchendaele’
4149 Ironpot road
MS 514, Kumbia Qld 4610

[Note: * Indicates a required field.]

   
*Name:
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Fax:

*Email:
Type of stay:
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Arrival date: (dd/mm/yy)
Departure date: (dd/mm/yy)

No. of adults:

No. of children
(over 3 years):
No. of children
(under 3 years):

Cot required:

Yes

No
Special requirements
(eg. special dietary requirements):
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Note: We will require a $100.00 ($AUD) deposit to confirm your booking.

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About Your Details
:In case you're worried about providing us your details - don't be. The information that you provide on this screen will only be used for the purpose for which you have provided it and will not be added to a mailing list. We will not use your e-mail address or associated information for any other purpose, and will not disclose it, without your consent.  

 

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