Please complete the following information so your booking can be confirmed.

Name: Address: 

Phone:  Fax: 

Email: 

Arrival date (in)

Departure date (out)

No. of adults   No. of children

Is a cot required for younger children?

Do you a require a rental agreement mailed to you?
                                      (if you do not have a printer)

To confirm your booking we will need a deposit of $50 to be paid within seven days.  The balance of your rental will be required to be paid thirty days prior to occupancy.  Please read, sign and attach the Tenancy Agreement with this booking and send it to our address.

To contact us:

Phone:  0418322417
Fax phone: (08)88232884
Email:  copcovevillas@yp-connect.net