Royal Coachman Lodge on Snow Booking Form

If paying by credit card, please download and fill out our postal booking form, and post or fax it together with your cheque or credit card details to PO Box 2036 Taren Point NSW 2229 Australia.

If you would like to book via email, please fill out and submit the following email form, and then phone the office on (02) 9524 0867 with your payment details.

Your Details

Title :
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Surname :
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First Names :
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Address :
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Suburb/City :
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Post Code :
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Phone Number :
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Fax Number :
Mobile :
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Email Address (required) :
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Accommodation Details

First preferred Arrival Date:
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Departure Date :
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Second preferred Arrival Date :
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Departure Date :
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Total number of nights accomodation required :
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Room Type:
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No of Adults :
No of Children (Ages 3 - 14) :
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Children eating :
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Number of infants (under 3 years) :
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Parking required (if available) :

Yes N o
Please highlight which of the following is applicable:
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Please click to complete the following additional details according to your selection above:

Non Shareholder – General Public
No extra information required. Please submit your booking form.
Shareholder
Shareholder : A B
Name:
Age
(if under 21):
Relationship
Period of stay
Accomodation charges:
Parking cost (if available):
Total Amount :
Friends of Shareholder
Shareholder : A B
Name of your Shareholder friend
Name:
Age
(if under 21):
Relationship
Period of stay
Accomodation charges:
Parking cost (if available):
Total Amount :
Shareholder Nominees
Shareholder Nominee: A B
Name:
Age
(if under 21):
Relationship
Period of stay
Accomodation charges:
Parking cost (if available):
Total Amount :
Parking cost (if available):
Total Amount :

Shareholder Details:
Shareholder's Name:
Shareholder's Address:
Shareholder has :
A B shares

Nominee Details
Name:
Address:
Age
Name:
Address:
Age
Please enter Security Code:
security code
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