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First name: *   Last name: *   Home tel: *   Cell: *   Work tel: *   Email address: *   Confirm email address: * Number of rooms:   Room types:   -- Please Select -- Standard luxury rooms Executive suites Luxury cottages Room occupancy:   -- Please Select -- Single Twin beds Sharing Purpose:   -- Please Select -- Personal Corporate Conference Wedding / Function guest Anniversary Romantic evening Leisure Other Check in date:   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2016 2017 2018 2019 2020 Check out date:   Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 2013 2014 2015 2016 2017 2018 2019 2020 Meals:   Breakfast           Lunch           Dinner       Special requirements: How did you hear about us? * Please specify which magazine / website etc: -- Please Select -- I attended an event at Thornbirds Website – Thornbirds Website – Other Google search Magazine Newspaper Expo Pamphlet Brochure Referral By word of mouth Facebook PCO Other             Please retype the code in field below: