Bilpin Springs Lodge Booking Form

Bilpin Springs Lodge
B&B Farmstay
46 Bilpin Springs Road
Bilpin NSW 2758 Australia
Phone: +61 (2) 4567 0300
Email:
GPS: Lat -33.4966
Lon 150.5088

Relax, Explore, Rejuvenate

Guest Name
Todays Date
Guest Address
Post Code
Phone
Email
Purpose of your visit
How did you hear about us?
Arrive date
Depart date
How many nights in total
How many people staying overnight in total
Any additional daytime visitors
Family Suites – Queen/bunk bedded
Couples-Queen/twin bedded
Number Rooms/Beds
Price per person per night
Sub-total
Plus: other items
Total Payable
Prepayment Amount
Balance Amount
Balance Date
C/O BSL
Additional Meal Info
Extra Services
Whole lodge private booking?	Yes No
Shall lodge provide breakfast?	Yes No
Will you self cater lunch?	Yes No
Will you self cater dinner?	Yes No
Less Prepayment received	Yes No
Require Massage	Yes No
Early/Late Check-in	Yes No
Dog Staying	Yes No