MERCURE WILLIS STREET WELLINGTON The Royal Agricultural Society of New Zealand Conference ACCOMMODATION BOOKING FORM - #RAS260610 Date of Arrival:
Date of Departure:
Surname:
Given Names:
Number of Guests:
Adults
Address:
Phone:
Fax:
Email:
Please note block booked rooms will be held until 31 May 2010 and then released. All prices include GST
Room Type Required: Single (Queen Bed) with breakfast $124.00 w/out breakfast $109.00 OR Double (King/Queen Bed) with breakfast $139.00 w/out breakfast $109.00 OR Twin (2 single) with breakfast $139.00 w/out breakfast $109.00
Payment:
Visa
Amex
Mastercard
Other Card (please state)
Card Number: Expiry Date:
Name of Card Holder:
Signature: Or Cheque Enclosed: Post/Fax/Email to: Mercure Willis Street 355 Willis Street, Wellington Phone: 04 803 1000 Fax: 04 803 1001 Email:
[email protected]
