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LAUREL
COTTAGE

FOR
BOOKINGS

We can be
contacted by the phone, post, fax or e-mail:-

E-Mail   jmwilt@southcom.com.au
Phone   (03) 6260 2397
Mobile   0419 542 048
Fax   (03) 6260 2536

Please
complete the accomodation request form below:

  • post
    it to us, or

  • complete
    online and hit the send button.

We will reply
within 3 working days to the "reply to address" you
specify.

Your
name
  Your
E-mail address
 


Your address
(Please include your State/Provence, Post/Zip code
and Country)


Your prefered
"reply to address", can be a mail or email
address or a fax number.


Nights required
and number of people

(Please don’t forget to include the dates you
require)

Credit Card
Details (Only used for the deposit once booking is
confirmed).
Name on Credit
Card


Credit
Card Number
  Credit
Card’s Expiry Date
  Credit
Card Type