Chillagoe Guesthouse

Reservation Request

Name          

Phone           (Contact number whilst traveling)

Address       (Optional)

Email             (Your Reservation will be sent to this Email)

Arrival         Day Monday Tuesday Wednesday Thursday Friday Saturday Sunday      Date 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st      Month January February March April May June July August September October November December      Year 2017 2018 2019      Number of Nights 1 Night 2 Nights 3 Nights 4 Nights 5 Nights

Number of Adults     1 2 3 4 5 6 7 8 9 10 11 12 13    Child Under 13yo   0 1 2 3 4 5 6

Accommodation       Select Accommodation Type you are Requesting Double Room     $145 per night - 2 persons Twin Room         $145 per night - 2 persons En-Suite Room   $165 per night - 2 persons 2 Bedroom Unit  $290 per night - up to 5 persons 4 Bedroom Unit  $580 per night - up to 8 persons FULL HOUSE    $890 per night - 6 Rooms 13 persons

For a single room reservation, we can offer you a discounted upgrade (Subject to availablity)
Would you like to request an upgrade to our Self Contained Unit?   No thanks Yes, Please add $30 per night

Comments or Special Requests


I wish to secure my reservation by     Select Payment Type VISA Card MASTER Card BANK Tansfer   (We do not accept cash)

Card Number             Expiry  MM 01 02 03 04 05 06 07 08 09 10 11 12 / YY 17 18 19 20 21 22 23      CVV     What is this?

Name on Card    

Would you like occasional Chillagoe information via email?   Please select response Yes please, I like Chillagoe No, I'm traveling International No, I hate Junk Mail !

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