Personal Details

* Required Fields

 

Name*

 

 

 

Telephone*

 

 

 

Fax

 

 

 

Country of Residence

 

 

 

Email*

 

 

 

Date of Arrival*

 

 

 

 

 

Date of Departure*

 

 

 

 

 

Room Type*

 

 

 

Number of Units*

 

 

 

Number of Adult*

 

 

 

Number of Children

 

 

 

Other Instructions

 

 

 Credit Card Details

 

Credit Card Type

 

 

 

Card Holders Name

 

 

 

Card Number

 

 

 

Expiry Month

 

 

 

Expiry Year

 

 

     


(If you prefer faxing, fax to 07 5592 2103 stating your name as reference)
Please note, no bookings are confirmed until confirmation form is received from The Moorings.

Upon arrival, Credit Cards or Cash Deposit required as security on booking.