Booking Form

To make a booking please complete this form, you will receive confirmation within 24 hours, normally sooner. Payment can be made via direct bank transfer, personal cheque or money order & credit cards.

Contact Details:

First Name:

Last Name:

Address:

City:

State:

Post Code:

Telephone:

Mobile:

Email:


Booking Details:

Accommodation:

Arrival Date:

Departure Date:

Total Number of Nights:

Total Number of Adults:

Total Number of Children:

Preferred Payment Method:

Comments:

For more information and bookings please call (03) 9015 8581 or email: bookings@promcoast.com.au