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<img src="images/clear.gif" width="583" height="1"><BR>
<H1 align="center">City Garden Lodge</H1>
<P align="center" class="subhead">Bookings & Enquiries
</P>
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<TD colspan="2" align="left">If you would like to make a reservation or need any other information about our accommodation, please fill out the fields below.<BR><BR>
Please note that we require a Mastercard or VISA credit card number to hold and confirm bookings. We have devised a low-budget method by which you can safely provide us with this information without our having a secure form. On this form you can enter your credit card type, expiry date and the last 4 digits of your credit card number. You will receive a follow-up email to which you can reply and separately provide the balance of the credit card number.<BR><BR> As long as your email address is provided accurately, we will email you a reply within 24 hours with the answers to your questions.
</TD>
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<TD colspan="2" align="center"> </TD>
</TR>
<TR>
<TD align="right">Given Name</TD>
<TD align="left"><INPUT NAME="givenName" TYPE="text" SIZE="50"></TD>
</TR>
<TR>
<TD align="right">Family Name</TD>
<TD align="left"><INPUT NAME="familyName" TYPE="text" SIZE="50"></TD>
</TR>
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<TD align="right"><font color="669900"><B>Email</B></font></TD>
<TD align="left"><INPUT NAME="email" TYPE="text" SIZE="50"></TD>
</TR>
<TR>
<TD align="right">Number of People</TD>
<TD align="left"><INPUT NAME="number" TYPE="text" SIZE="50"></TD>
</TR>
<TR>
<TD align="right">Type of Accommodation Requested</TD>
<TD align="left"><SELECT NAME="roomType">
<OPTION SELECTED> [select one]
<OPTION>Double Room
<OPTION>Twin Room
<OPTION>Single Room
<OPTION>8-Bed Dormitory
<OPTION>3-4 Bed Share Room
<OPTION>4-Bed Women's Share Room
</select></TD>
</TR>
<TR>
<TD align="right">Dates Required</TD>
<TD align="left"><INPUT NAME="dates" TYPE="text" SIZE="50"></TD>
</TR>
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<TD align="right">Are You a BBH Member?</TD>
<TD align="left"><INPUT TYPE="radio" NAME="BBH" VALUE="Yes" Checked="true"> Yes <INPUT TYPE="radio" NAME="BBH" VALUE="No"> No </TD>
</TR>
<TR>
<TD align="right">Credit Card</TD>
<TD align="left"><SELECT NAME="ccType">
<OPTION SELECTED>
<OPTION>VISA
<OPTION>Mastercard
</select></TD>
</TR>
<TR>
<TD align="right">Credit Card #</TD>
<TD align="left">
<INPUT NAME="ccNumber" TYPE="text" maxlength="4" SIZE="6"> * LAST 4 DIGITS ONLY (see note at top of form)</TD>
</TR>
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<TD align="right">Expiry Date (Mo + Year)</TD>
<TD align="left"><SELECT NAME="ccExpiryMo">
<OPTION SELECTED>
<OPTION>01
<OPTION>02
<OPTION>03
<OPTION>04
<OPTION>05
<OPTION>06
<OPTION>07
<OPTION>08
<OPTION>09
<OPTION>10
<OPTION>11
<OPTION>12
</select>
<SELECT NAME="ccExpiryYr">
<OPTION SELECTED>
<OPTION>04
<OPTION>05
<OPTION>06
<OPTION>07
<OPTION>08
<OPTION>09
<OPTION>10
<OPTION>11
<OPTION>12
</select>
</TD></TR>
<TR>
<TD HEIGHT="136" VALIGN="TOP" ALIGN=RIGHT>Message</TD>
<TD VALIGN="TOP"><TEXTAREA NAME="formMessage" ROWS="10" COLS="47"></TEXTAREA></TD>
</TR>
<TR>
<TD colspan="2"><INPUT TYPE="submit" NAME="Submit" VALUE="Submit Form"> <input type="reset">
</TD></TR>
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<TD colspan="2" align="center"> </TD>
</TR>
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<P align="center">
25 St Georges Bay Road, Parnell, Auckland, New Zealand<BR>
Tel. +64-9: 302-0880 Fax: +64-9: 309-8998<BR>
Email: <a href="mailto:city.garden@compuweb.co.nz">city.garden@compuweb.co.nz</a></P>
<P align="center"><img src="images/blue.gif" width="752" height="1"></P>
<P align="center"><a href="index.shtml"><B>Home</B></a> | <a href="accommodation.htm"><B>Accommodation & Rates</B></a> | <span class="here"><B>Bookings</B></span> | <a href="attractions.htm"><B>Map/Local Attractions</B></a> | <a href="recommendations.htm"><B>Travel Recommendations</B></a></P>
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