Jetty Motel The Entrance Accommodation Enquiries and Reservations

If you wish to enquire or book your stay at the Jetty Motel please fill out the form below.

Alternatively we can be contacted by:

Please note that if you are making a booking, we will contact you by phone for credit card details or other payment options.

Credit card details, direct deposit, cheque or money order must be provided to confirm and hold a booking.

*fields marked are required to be filled in**

Reason for completing this form: Enquiry Booking *

Contact Details
Title:
Name:	*
Address:	*
Suburb / Town:	*
Postcode	*
Country:	*
If other country please specify
Telephone:	*
Mobile
Email Address:	*
Preferred method of reply	*
If phone specify best time	Anytime Business Hours (9 to 5) After Hours

Accommodation Details
Proposed Arrival Date:	dd/mm/yy
Proposed Departure Date:	dd/mm/yy
Number of Guests:	Adults Children
Accommodation Style: (Please select)	*

Special Requests / Comments:

To assist our marketing could you please fill out the details below
How did you find out about us?	*
If other please specify
If Internet please specify	Search Engine Accommodation Website
Thank you for your assistance with our marketing