Approximate Arrival Time: PM AM
What Type of Accommodation do you Have? Large Caravan Large Family Tent Large Trailer Tent Large Motor Home Medium Caravan (Max 5.75Mtr) Motor Home (Max 6.0Mtr) Medium Tent Trailer Tent Mini Motor Caravan Car or M/Cycle with Mini Tent Mini Caravan Mini Tent, Pedestrian's, Cyclist's
Do you have an Awning? No Yes Small Yes Medium Yes Large
What type of Pitch would you Like? Standard Pitch Standard With Electric Premium Pitch Superpitch
No of Adults in your party?
No of Senior Citizens in your party?
How many Children under 3Yrs?
How many Children 3 ~ 16Yrs?
How many Teenagers 16 ~ 18Yrs?
How many Students 18 ~ 22Yrs?
If you are Teenagers or Students, are you a supervised group? No Yes
Do you have a Children's junior Tent? No Yes
Do you have any Dogs (if so, state how many and size ... small, medium, large)?.
Vehicle Registration
Are you Interested in fishing? No Yes Yes I am an experienced angler Yes others in my party will be anglers
Are you interested in Conservation? No Yes
Name Mr Mrs Miss
Full Postal Address including Post Code
Telephone/Fax Number including STD Code
STD TEL FAX
Email address
If we have excluded anything which you require please state below.
How did you hear about us? Newspaper / Magazine Word of Mouth Linked from another website Via search engine Recommendation Other
Have you been to Blackland Lakes before? Yes No
Would you be interested in Holiday Membership of Blackland Leisure Health and Fitness Club to enable you and your family to swim? (Offer applies to visitors staying a minumum of one week initially). Yes No
Once you have completed this form please hit the Submit button to send it. We will respond to your information request as soon as possible.
