ACCOMMODATION BOOKING FORM

Please complete this form and press the Send button. A member of staff will contact you about your booking.

Please take care to enter your information correctly, otherwise we may have difficulty in contacting you.

Program Coordinator:
Organisation:
Address:
Post Code:
Telephone:
Fax:
Email:
Starting Date:
Finishing Date:
`Schools & Groups of People with Disabilities` $15 per person per night
Number of Persons:
`Private Groups` $25 per person per night $15 per child per night (under 12)
Number of Adults:
Number of Children:
Bookings confirmed on `50% deposit payable` to Landsdale Farm School. Cheques payable to `Landsdale Farm School`.
Any Other Information: