Te Moe Family Trust
Te Moe
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Application to use the Te Moe house
Please fill in as much as you can. It saves time and prevents misunderstanding.
First Name
*
Last Name
*
Email address
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Trust person known or referred by
*
Have you stayed here before ?
Yes
No
Your Postal Address
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Postal code
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Contact phone number
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This number is a
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Home
work
Cellphone
Number of people staying (limit 7)
*
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1
2
3
4
5
6
7
Arrival Date
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Depart Date
*
Total nights you want to stay
Is this a weekend getaway ?
*
Yes
No
Any Comments ?
I have read and I understand your expectations
*
Yes
I understand that this is an application and NOT a booking
*
Yes
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