Inquiry & Booking/Reservations Form

Please complete the entire form before using
the SUBMIT button at the bottom, or email us at norfolkmotel@xtra.co.nz

After each typed entry, use the cursor to go to the next entry box.

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I would like to (please choose):
Request information -  Make a MOTEL reservation request   Make a CAMPERVAN PARK reservation request

Mr Mrs Ms
Names:   (Last)   (First)
Postal Address: 
(Cont'd)  
Town/State/Province: 
Country: 
Postal Code: 

IMPORTANT! Please include all contact details below

Telephone:   (Home)   (Work)
Fax: 
Please make sure you submit a VALID email address or we won't be able to confirm your booking or to send a reply!
E-Mail address: 
 
I am interested in staying during the following time period:
Arrival Date: 
Departure Date: 
Number of people:   (Adults)   (Children)
 
If you require transport from Kaitaia Airport, please indicate your requirements below:
   
 
Please read our cancellation policy:
  We charge a cancellation fee of 25% for each room night cancelled within 30 days of stay, 100% within 48 hours and for none arrivals.
 
Below is room for special requests or other comments:
Please click Submit Form button