Bandusia Retreats Secure Payments and Bookings Page

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Bandusia Country Retreat

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Secure Order/Deposit Form
Please Note that We Must Confirm Your Booking via Email.

Your confidential credit card information is protected by 128 bit Secure Sockets Protocol (SSL) encryption. Use this form to place your booking or to make a deposit for a function, wedding or special event.

Please provide the following contact information:

* Your Name

Partner's Name

Your Title

Company

Work Phone

* Home Phone

* Your E-mail

Please provide the following booking information:

Arrival Date	No of Nights	ROOM TYPE/PACKAGE

	Credit Card Information
Name on Card
Billing Address
City
State	Pcode
Card No
Expiry	/
Amount
Type Your Message and Special Requests Here:	Please charge my credit card according to your terms and conditions for reservations and bookings. We understand we must receive confirmation of our selected booking dates before the booking is considered firm. We have included our email details for confirmation. I have ________________________ dietary requirements.

SUNDAY NIGHTS:

For a limited time extend

your weekend to a 3rd night

and stay Sunday for

just $199 per couple inclusive
of full country breakfast for two.

Make the break and have

a real rest from the toil

of the city.

Include your 3rd night

for just $199.00

We do not share your
details with anyone.