Salutation
Surname
First Name
Postal Address
Town & State/Province
Country
Postal Code
PLEASE INCLUDE ALL CONTACT DETAILS BELOW
Telephone (home)
Telephone (business)
Fax
E-Mail Address (REQUIRED
)
For Room Rates
Click Here
Option One: Number Of Rooms Required
Double:
Rooms
1
2
3
4
5
6
Twin:
Rooms
1
2
3
4
5
6
Single:
Rooms
1
2
3
4
5
6
Or Option Two: Self-Contained Unit Required
Manuka Lodge (Sleeps 10)
1 Double + 5 Twin Share Rooms
Kowhai Lodge (Sleeps 5 in 2 Rooms)
1 Double & Single Bed + Twin Share
Kouku Lodge (Sleeps 5 in 4 Rooms)
1 Double + 3 Singles
If interested in a conference or group function, please describe requirements:
Date of arrival:
Day?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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22
23
24
25
26
27
28
29
30
31
Month?
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year?
2010
2011
2012
Date of departure:
Day?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month?
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year?
2010
2011
2012
Number of people:
Adults?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Children?
1
2
3
4
We are interested in:
(check all that apply)
Guided Trout Fishing
Guided Walks
Renting Kayaks
Renting Canoes
Renting Dingies
Guided Horse Treks
Eco-Tours
Bird Watching Trips
Maori Culture Visits
Charter Boat Cruises
Any other comments, questions or special requirements (dietary, etc.):
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Ph : +64 6 837-3876 Fax: +64 6 837-3872
info@lakelodge.co.nz
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