Urban Cottage

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*Indicates fields we require you to complete

Name	Title First Name *Name (Family Name)
*Email
*Address
*Country or town of Origin
*Phone
Fax
Accommodation dates required: Check Availability
*Arrival Date
*Departure Date
*Estimated time of Arrival
*Number of guests staying
*Adults	Children Age of Children
Portacot required Y/N	(additional charge of $5 per night)
Highchair required Y/N
Couples
Individuals
Please tell us whether you require the super king or single beds made up.	Super king bed required ? OR Single beds required ?
*Are you bringing a car Y/N
Would you like a copy of the wonderful Wellington guidebook 'The Best of Wellington'	Yes , please send me a copy at the cost of NZ$18 plus postage
We would be grateful if you could tell us where you first heard about Urban Cottage
Additional comments or queries
*I have read and understand the Urban Cottage cancellation policy