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Emu Beach Holiday Park Site Agreement Form
Date Time *

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Please Note: If your computer's regional settings are set to US (USA) date/time zone it may show the date/time's in US format.
Subject:
Name *
Email: *
Please ensure you get this correct, if it's wrong we may not be able to respond.
Mobile Number *
Address:
Town, State & Post Code:
I'd like to reserve... *
 Powered 
 Unpowered 
 Accommodation 
Arrival Date & Estimated Time *

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AM/PM
Departure Date *

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Number of Adults *
Number of Children (in words or numbers)?
What is the length of your Caravan?
 <9feet 
 10feet 
 12feet 
 16feet 
 18feet 
 20feet 
 22feet 
 24feet 
 25>feet 
What is the length of your Camper Van?
 <9feet 
 10feet 
 12feet 
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 24feet 
 25>feet 
What is the length of your Motor Home?
 <9feet 
 10feet 
 12feet 
 16feet 
 18feet 
 20feet 
 22feet 
 24feet 
 25>feet 
What is the length of your Camper Trailer?
 <9feet 
 10feet 
 12feet 
 16feet 
 18feet 
 20feet 
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 25>feet 
If Tent, then what are the dimensions of your Tent?
Please Specify Feet or Metres?
The 25% deposit was paid on?

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I agree that there are... *
 NO DOGS allowed during PEAK season? 
I'd also like to know?
Please fill this form in properly as this information is important to make sure all will be right for your stay!

I agree with Emu Beach Holiday Park for this booking and any alterations required.
(Please type your name to sign) *
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