Booking Request for Newtown Darlington Suites

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CUSTOMER DETAILS
1 Name
Email
Telephone
  How You Heard About Us
 
APARTMENT DETAILS
2 Apartment Wanted
Number of Guests Plus

Up to 4 adults can be accommodated in our Ground Floor apartment; (OK for 2 couples)
Up to 4 adults sharing on a collegial or professional basis can be accommodaed in our Upstairs apartment; (not suitable for 2 couples)

     
LENGTH OF STAY (dates in dd/mm/year format)
3 Check-in Date: Day Month Year
Check-out Date: Day Month Year
Total number of nights
         
PAYMENT DETAILS
4 Card Type
Card Number
Expiry Month / Year
Name on Card
Amount of Payment Being Authorised:$A
 
COMMENTS
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