A deposit of 25% or full payment is required on booking.

One Booking Form Per Person Please

First Name

Last Name

Address

Phone

Emergency Home Contact

I have Special Needs

Gender Male Female

I require accommodation Yes No

Days attending Saturday Sunday Monday

Costs per day

Single accommodation & meals	$150.00
Twin/double accommodation & meals	$140.00
Marae style mattress & meals	$125.00
Camping & meals	$125.00

Costs

Walk,lunch, bus Saturday (no accommodation)	$80.00
Walk,lunch, bus Sunday (no accommodation)	$80.00
Walks, BBQ, Monday only	$50.00

I require an Evening Meal (day walkers only) Yes No

Days you require an evening meal Saturday Sunday

Total Cost $

I will share my room with this person

Payments

A deposit of 25% or full payment is required on booking.

Payment can be made by either Internet banking or cheque.

Please include your name as the reference so we can reconcile payments with bookings

Please make all via Internet Banking to:
Bank: ANZ
Account: Waipukurau Rotary
Account #: 01 0778 0126536 00

Please make all cheques out to Waipukurau Rotary and send them to

Sea Sky Bush Walk
PO Box 279
Waipukurau 4242

Accommodation costs also include lunches & buses.

A group discount of 10% is applicable for ten or more walkers booking together and paying with one cheque.

A 25% deposit (non- refundable after 1st February 2012) should accompany your booking with full payment by 10th February 2012.

No refunds after 24th February 2012.