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.