Broome2003 Crystallography Conferences

Accommodation Request Form

Guests Name :
Address:
Suburb/Postcode
Fax Number:
Email Address:
Arrival Date
Arrival Time/Flight	Transfers* Y / N
Departure Date
Departure Time/Flight	Transfers* Y / N
Number of Guests
Room Type
Bedding Configuration Required	Single /Double /Twin
Credit Card Number/Expiry	/
Name of Card Holder
Rate Confirmed	$
Confirmation Number:
* Transfers to/from airport	Available at $8 per person each way.
Cancellation Policy	24 hours prior to arrival to avoid penalty of first nights accommodation.

Please provide a Credit Card Number to secure the booking. Once you have completed this form either e-mail it to: resmgr@cablebeachclub.com, or fax it to:

61 8 9192 3417, or post it to: PO Box 1544, Broome WA 6725, Australia.

Your booking will not be secured until you have received a confirmation number. Please present this form on arrival as verification of your booking.

If you have not received a confirmation number within two days please contact the reservations desk on 1800 199 099 (inside Australia) or 61 8 9192 0400.