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Booking Form

First Name

Surname

Email Address

Contact Number

Street Address

Town/Suburb

Country

Arrival Date

Departure Date

Pick up Location (eg. Airport) if needed

Duration of Stay

Unit Required

 

 

Comments and/or requirements

 

                 

 

  

Banking Details

Bank : First National Bank

Account name : Grassy Knoll T/A Pelican Accommodation

Account no : 62071831921

Type of account: Cheque Account

Branch code : 203 209

Branch : Lansdowne

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