RESERVATION FORM

 YOUR DETAILS
Title:

First Name:

 * 
Last Name:
 * 
Street Address:
  
Street Number
 *
Street Name
*
Suburb/Town:
 *
State/Province:
 * 
Postcode/Zip:
 *
Country:
 *
Contact Phone:
 *
Mobile Number:
 *
Email Address:
 *

BOOKING DETAILS
* Please note that this is a booking request only. Our friendly staff will contact you shortly to confirm your reservation. Please feel free to contact us for more urgent bookings.
Required Booking Dates:
Check In:
Month:
    
Departure:
Month:
    
Year:
Number of Guests:
Adults:
Children:
Special Requirements/Comments:
How did you hear about us?:

PAYMENT DETAILS
Note: Payments will not be processed until confirmation of the booking has been made. Once the booking has been confirmed a minimum deposit is required to secure the booking.
PREFERRED PAYMENT METHOD:
 
UPON CONFIRMATION OF YOUR BOOKING PAYMENT CAN BE MADE BY DIRECT DEPOSIT TO THE FOLLOWING ACCOUNT DETAILS:

BANK:

West Pac Bank

ACCOUNT NAME:

Monte Carlo Motor Inn
BRANCH NO:

034241
ACCOUNT NUMBER:

300691
When paying directly to the account please ensure you use your phone number as the transaction ID. Thank you.
 



 

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