Glenelg Motel - On-line Reservation Form

Like to make a reservation enquiry?

Simply complete the electronic form below and one of our friendly staff will respond shortly.

Please note that rooms are not guaranteed until you receive confirmation of your reservation by either telephone or email.

Note: Fields marked * are compulsory and must have information entered prior to clicking 'Send'.


	ON-LINE ENQUIRY FORM

Name*
Street Address
Suburb / Town
Zip / Post code
State / County
Country*
Telephone* (Please include area codes)
Fax (Please include area codes)
E-mail Address*
Room Type
Date In*
Date Out*
Arrival Time (Estimate)
Number of Guests*
Other requests Diet requirements, Disabilities etc.
Contact method


	If any difficulties occur, please e-mail us - bookings@glenelgmotel.com.au


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