Accommodation Enquiry Form

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ROSE CITY MOTEL - Palmerston North

Newly renovated and affordable Motel Accommodation in the centre of Palmerston North. Just a 2 minute walk from the cafe's, restaurants, theatres, and shops. Free unlimited Ultra Fast Wi-Fi access and a Sky Decoder available in every room. All suites have full kitchen facilities. On-site facilities include a guest laundry, squash court, spa pool, and extra large car parking.

Secure Enquiry
Simple 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