ROOM RESERVATION FORM
Pool Superior Room/s
$A290.00 per night

Conference dates 6 - 8 AUGUST 2009*
* Please Note: The launch fare of $150 per person will be included on your invoice on departure.


These rates also available 5 days pre and post conference dates.
For more information regarding the room types please see the Hayman website

* Required fields

* Your Name:
* E-Mail Address:
* Contact Telephone or Fax Number:


  Number of Rooms required?


(If applicable)
Names of Additional Guests (including children)

  :Guest 1
  :Guest 2
  :Guest 3
  :Guest 4
  :Guest 5
  :Guest 6


  Number of Launch Tickets required?




Arrival Date:

Flight No. on Arrival in Hayman: 
Departure Date:

Flight No. on Departure: 
Do you have any special requirements?




* Calculate Cost of Room/s cost:
($A290 x number of nights x rooms required)
  $A
* Launch tickets
Launch @$150 per person
  $A
* TOTAL
  $A
Please provide a credit card number to guarantee the accommodation requested, please note the room charges will not be charged until departure. Credit card payments will be subject to a 1% surcharge.

Payment by Credit Card:
Visa Mastercard
Card Number:
Expiry Date:
  Month/Year
Name on Card:
Please ensure that you have also registered for Perfusion Downunder on the Registration Link.

Please Note:Cancellation of rooms 30 - 14 days prior to arrival - one night cancellation fee per room cancelled will be charged to the individual credit card provided.

Cancellation of rooms less than 14 days prior to arrival - 100% of total room value cancelled will be charged to individual credit card provided



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