Kiama Alpine Club

Kiama Alpine Club Cooperative Limited ABN 53 474 789 058

LODGE: 4 Buckwong Place Thredbo Australia PO Box 178 Thredbo NSW 2625

Telephone 02 6457 6453 Email lodge@kiamaalpineclub.org.au Web www.kiamaalpineclub.org.au

To enquire about accommodation, please fill in your details below. Submission of these details does not guarantee your accommodation. The booking manager will contact you using the information provided.

Title *

First Name *

Last Name *

Address

Suburb

State

Postcode

Home Phone

Work Phone

Mobile Phone

Email *

Car Rego *

Number of People *

List the names of those being booked for in the text fields.

Adult members:

Members’ children:

Adult Guests:

Guests 15 yrs & under:

Arrival Date *

Day

Month

Year

Departure Date *

Day

Month

Year

Please tick if you require the following be provided for your stay (note fees apply, see rates):
   Linen:
   Towels:
   Room Cleaning:

If you are a guest booking, please name the club member you know

Additional Information:

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