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Booking form

To book your stay fill out the following form. We will get back to you promptly to confirm your booking details and send you payment details.

Name *

First

Last

Address Line 1 *

Address Line 2

Email *

Email

Confirm Email

Primary Phone Number *

Secondary Phone Number

Arrival Date and Time *

Desired Length of Stay *

or check-out date

Number of Rooms *

Maximum 3

Number of Guests *

Maximum 6

Adult Meals

Dinner/Continental Breakfast/Full Breakfast (self-catered)

Childrens Meals

Dinner/Continental Breakfast/Full Breakfast (self-catered)

Your payment method *

Paypal (credit card available)
Electronic Bank Transfer
Other

Comment

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Name *

E-mail *

Email

Confirm Email

Phone Number

If this is your preferred means of contact (optional)

Your question *

Comment

Riverside Stay Bendemeer NSW 912 Bendemeer-Watsons Creek Road Bendemeer NSW 2355

0427 138 357 or 0411 026 357 info@riversidestay.com.au

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