LUXURY CAMPERS

On Line Booking Form

Please complete this form and click on 'Submit Form' when ready to send.

Full Name:
Email Address:
Address:
Date Required From: (dd/mm/yy)
Date Required To: (dd/mm/yy)
Number of People:
Time of Arrival:

Would you like any of the following extras?

Recovery Kit ($45 per week)OZ '30 Second' Tent ($45 per week)Awning ($25 per week)Folding Chairs ($5ea per week)Folding Table ($5 per week)

For your own safety we ask that you fax your credit card information with signature to 61 8 9203 6569.

Please ensure your fax contains the following information:

  1. Type of Credit Card: VISA, MASTERCARD, BANKCARD
  2. Credit Card Number
  3. Name on Credit Card
  4. Expiry Date of Credit Card
  5. Your Signature

    Any comments?

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