Hulbert House 1888
 Historic Bed & Breakfast in Queenstown, New Zealand

Enquiry & Reservation Form Via E-Mail or Fax

Please complete the entire form before clicking the TRANSMIT button at the bottom.
Alternatively, you may fill out the form, print and fax to +64 3 442 8767.

After each typed entry, press the TAB key
or else use the cursor to go to the next entry area.
 

     I would like to (choose one):  Request further information    
                                    Make a reservation request

     Dr  Mr  Mrs  Miss  Ms 
     Last Name             
     First Name            

     Postal Address        
                           
     Town & State/Province  
     Country               
     Postal Code           

     Telephone (home)      
     Telephone (business)  
     Fax                   
     E-Mail (REQUIRED)     

     I am interested in staying during the following time period:
        Arrival Date             
        Departure Date           

     Accommodation type: Which of our 4 rooms do you prefer?

        Queen bed (own bathroom opposite) 
        Queen & Single (ensuite) -- 2     
        Queen bed (ensuite)               

     Guaranteed by         
     Card Number           
     Name on Card          
     Expiry Date             

     Special requests or other comments/information:
Please click one of the buttons below, or else print now and fax to +64 3 442 8767.