Please use this form to contact us, but if you prefer to send an email from your email program you can use the above e-mail address. We have marked all mandatory entries with *()**. Personal Details
Name: *()**
Email: *()**
Phone:
Fax:
Address:
Accommodation If you make an enquiry please let us know when you would like to stay with us.
Number of guests:
Arrival:	Estimated
Departure:
Room type:	Dorm Single Twin Double I don't have a preference, thanks
Credit Card Details Enquiries are accepted without the following, but in order to confirm your booking you need to either supply your Credit Card details below or make a deposit:
Card Type:
Card Number:
Name on Card:
Expiry Date:
CVV Number:	Note: For your safety and security, we require that you enter your card's verification number. The Card Verification Value (CVV) provides an additional level of online fraud protection. The number is located on your credit card and is three digit non-embossed number on the back of the card printed within the signature panel after the account number.
Any special requirements and/or comments:
Note: entries marked *()** are mandatory. Please tick to stay informed about Rosemere Backpackers Wellington Management reserves the right to alter prices without prior notice.

We look forward to meeting you
The team at Rosemere Backpackers

Personal Details

Accommodation