Rosie's Backpackers

booking and general enquiry Form
I am making	a booking an enquiry
I am interested in a tour :	yes
Please provide the following contact information:
Full Name:
City:
State/Province:
Country:
Phone:
E-mail:
Arrival Date:
Departure Date:
Free Pickup Required:	(pickup only available between hours of 8am and 6pm)
Transport:
Transport Provider:	eg Qantas, Greyhound etc
Arrival Time:
Number of people:
Room Type
Comments or special requirements:

Credit Card Payment Form
Name:
Card Type:
Card Number:	Security Code
Expiry date:
Name on Card:
Deposit amount:	Amount equal to ONE night's accommodation.

Cancellation Policy Cancellation within 24hours of booking will be charged at one nights accommodation. Non arrivals will be charged at one nights accommodation.

If you prefer, you can fill out the required fields online, print and then fax us your details.
Our fax number is (07) 4041 0252