ENQUIRY FORM

Please complete the Enquiry Form below ...  Booking Terms & Conditions ...   Credit Card number required for booking confirmation.   With all online bookings no payment is taken at the time the reservation is confirmed.  The credit card used in online reservation is only held by the Victor City Motel as a guarantee should a guest fail to arrive or cancel inside one day prior to arrival date.  Full payment of accommodation  is required at time of check in.

Phone 08 8552 2455     Fax 08 8552 5583

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Booking Details ...  
(Required Fields are marked with an asterik*)
Date of Check-in
 
Date of Check-out
 
     
  Please tick
those you require ...
 
Extra Person
       
Specials:  
     
Number of Adults
  sp No. of Children:sp
     

Extra Comments ...
 
     
Your Details ...    
First Name
 
*Surname
 
Address
 
sp 
 
Town/City
 
State
  spPostcode: sp
Country  
*Email  
*Daytime Phone  
Evening Phone  
Facsimile  
    Please Note: 
Credit card number required to confirm booking.
Security Code   Please tick