Pyrenees Central Booking Service Enquiry Form

     Pyrenees Tourism can assist you find your preferred accommodation while staying in the Pyrenees
     and Ballarat regions, please complete the following enquiry and one of our staff will reply to you
     asap.

Location of Accommodation	Pyrenees Region
	Ballarat Region
Arrival Date	-- mm/dd/yy
Departure Date	-- mm/dd/yy

Number of Adults	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15	Children	0 1 2 3 4 5 6 7 8 9 10

Number of Beds	Double	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15	Single	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15	Cots	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Style of Accommodation Required	Please select the style of Accommodation preferred Hotel Motel Caravan or Camping Bed and Breakfast Self Contained Accommodation Farmstay Rural Retreat

Accommodation Price Range preferred	Not Concerned $50 - $75 $75 - $100 $100 - $125 $125 - $150 Over $150   (Per Couple per night)
Special Requests eg: "adjoining rooms" ,"in Beaufort area" or "Ballarat Inner City" etc

Please provide the following contact details:
Name*
Work Phone*
Home Phone*
E-mail*

Preferred Contact Method	Telephone	Email
Please Enter The Security Code Above

*  Indicates a required field to be completed