Booking Request

Please note that your booking request is not a booking until it has been confirmed by return email or phone.

 

Personal Details

Title: * Mr      Mrs     Miss      Ms
Your Name: *

 

Current Postal Address

Address:
City:
Country: *
Post Code:



Contact Details

Phone: - Email Address: *  
Mobile ph:  -    
How did you hear about Pacific Park:  Repeat customer       Referal        AA guide      Jasons Guide        HAPNZ    Phone book        Internet search             Other



Accomodation Details

Number of Adults:
Number of Children:
(5 - 14 years)
Ages:
Number of Preschoolers:
(0 - 4 years)
Arrival Date:
Departure Date:
Total Nights Required:  
Type of Accomodation  Motel room serviced with linen  Motel without linen  Lodge      Cabin     Campsite   Chalet     


Requirements/Comments

 
                            please note: we are an Alcohol and Smoke Free Zone
Smoke Free Zone        


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