Accommodation Booking Perth Online Form
* Required
Email address
*
Your email
Lead guest first name
*
As in passport
Your answer
Lead guest's last name?
*
As in passport
Your answer
Your mobile phone number?
If you don't have a mobile phone, your landline.
Your answer
Email?
*
Your answer
Date in?
*
MM
/
DD
/
YYYY
Date out?
MM
/
DD
/
YYYY
Configuration
Number, type of beds, Number of bedrooms. Eg One bedroom with a double bed, and 2 other bedrooms with a single bed each.
Your answer
Preferred Star Rating?
1
2
3
4
5
Clear selection
Preferred area of/near Perth
Beachfront (25 minutes from the Perth CBD)
CBD
Fremantle (Port City 30 minutes SW of Perth)
Swan Valley (35 minutes NE of Perth)
Darling Range (Hills east of Perth)
Mandurah 1 hour south of Perth
Other:
Clear selection
If you have a Perth property name in mind, please specify it?
Eg "Indian Ocean Hotel" Scarborough Beach
Your answer
Optional message?
Eg: Non-smoking, vegitarian, late checkin, late check-out request, configuration, eg one double bed and one baby cot.
Your answer
How many adults in total?
Your answer
How many children under the age of 12yo with you?
Your answer
What is 2+3 equal to?
*
Your answer
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