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BOOKING CONFIRMATION FORM

First Name

Email

Last Name

Phone

Address

Mobile Provider?

Telstra

Optus

Name of others - over 12 years

Name of others-12 years & under

Vehicle Registration No.

Dog's name (If any)

If you are part of a group of campers, please provide the coordinators name. If you are the coordinator, all campers (vehicle) must book their own stay.

Date Of Arrival

Leave Date

Total number of nights

What is your estimated time of arrival (ETA)?

Are you in a tent or a van?

Tent

Caravan or similar

Thank you for completing the registration form. We will be in touch with some additional information.

1180 Big Hill Road, Thanes Creek, QLD, 4370

harthillcamping@gmail.com

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