Please complete the Booking Form below: Name * First Name Last Name Email Phone (###) ### #### Payment Option * Option 1 - Balance In Full - one month from today Option 2 - 4 Equal Quarterly Payments - commencing 3 months from today Occupancy * Single (Private Room) Solo Traveller (Will Share Room) With a Friend (Shared Room) Friends Name (if applicable) Dietary Preferences or Allergens Any Pre Existing Medical Conditions Next of Kin * Emergency Contact Number * (###) ### #### I have read & agree to Merkabah Magical Booking Terms & Conditions & understand the Non Refundable Deposit Policy * * Yes Thank you!
