Accommodation Enquiry Form

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CASA BLANCA MOTEL - Whangarei

Casa Blanca Motel offers spacious affordable accommodation for singles to large groups and families. There is plenty of parking available and heaps of room for the kids to play. We have a swimming pool, spa pool, trampoline as well as a Games room with Pool Table, Dartboard and Library. We also provide Barbecues and a guest laundry.

Secure Enquiry
Secure Credit Card Enquiry

Personal details

*Your name:

Postal Address (optional):

City (optional):

State (optional):

Post/Zip Code (optional):

*Country:

Phone (optional):

Fax (optional):

Note:

Please include country and area code in phone and fax numbers.

*Email:

*Email again:

Respond to me by:

Email
Phone (NZ Only)
Fax
Post

Accommodation Details

Number of Adults (optional):

Number of Children:
(over 2 years - optional)

Ages (optional):

Number of Infants:
(0-2 years - optional)

*Arrival Date

Departure Date (optional):

Total Nights Required:
(optional)

Time of Arrival (optional):

Requirements/comments

Requirements or Comments (optional):

Security Step

*Type the above letters

* denotes required field

Personal details

*Your name:

Postal Address (optional):

City (optional):

State (optional):

Post/Zip Code (optional):

*Country:

Phone (optional):

Fax (optional):

Note:

Please include country and area code in phone and fax numbers.

*Email:

*Email again:

Respond to me by:

Email
Phone (NZ Only)
Fax
Post

Accommodation Details

Number of Adults (optional):

Number of Children:
(over 2 years - optional)

Ages (optional):

Number of Infants:
(0-2 years - optional)

*Arrival Date

Departure Date (optional):

Total Nights Required:
(optional)

Time of Arrival (optional):

Credit Card Details

*Credit Card Type

Note:

If the business does not take American Express
or Diners Club, they will inform you directly

*Name on Card

*Card Number

(no dashes e.g. 4444333322221111)

*Expiry Date

*CVV2

(Usually a 3 or 4 digit security number on the card)

Requirements/comments

Requirements or Comments (optional):

Security Step

*Type the above letters

* denotes required field