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Booking form

CONTACT DETAILS
*Name:
Address:
City:
State:
Country:
Postal Code:
*Email:
Telephone No:
Mobile No:
Fax:
BOOKING DETAILS
Number of adults:
Number of children under 5:
Number of children 5 to 15:
Your family dog: yes (please bring dog food and leash) no
Date of start: day
Date of finish: day
Please type in any dietary needs:
(vegetarian, food allergies etc.)
Please type in your special needs:
(baby cot, wheelchair access etc.)
Comments:

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Contact: Acton Ridge Farmstay, Bruce and Elizabeth Carcary, 122 Nash Road, Millaa Millaa, Qld 4886 Australia    Ph. +61 (7) 4097 2293    E-mail us

Enjoy quality family time - come and share the farm experience!

© 2016 Acton Ridge Farm Stay