Chillagoe Guesthouse

Booking Request - Long Weekend Escape - 3 nights

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Arrival Date                                                                   Number of Guests
Thursday  Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 27 28 29 30 31   Month January February March April May June July August September October November December   Year 2011 2012 2013               Adults 1 Adult 2 Adults 3 Adults 4 Adults 5 Adults 6 Adults 7 Adults 8 Adults 9 Adults 10 Adults 11 Adults 12 adults 13 Adults 14 Adults    Children U15 1 Child 2 Children 3 Children 4 Children 5 Children 6 Children

Number of Twin Share Rooms 1 x Twin Share Room 2 x Twin Share Rooms 3 x Twin Share Rooms 4 x Twin Share Rooms 5 x Twin Share Rooms                       Number Single Supplement Rooms 1 x Single Supplement Room 2 x Single Supplement Rooms 3 x Single Supplement Rooms 4 x Single Supplement Rooms 5 x Single Supplement Rooms 6 x Single Supplement Rooms

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Special Comments/Requests


Please Charge my Credit Card

Card Number        Expiry  MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 11 12 13 14 15 16

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If accommodation package is available for the date requested, please confirm booking and debit my Credit Card a deposit of $60 per person.
I authorize that the balance be debited to the same credit card up to 72 hours prior to arrival.
I understand that a full refund is applicable for cancellations if at least 48 hours notice is given.
Cancellations less than 48 hours notice will incurr $50 per room fee.