Club Med Lindeman
Island Booking Request
Please fill in all details below. We will contact you once we have confirmed your booking.
Please call us on
1800 284 112
if you have any questions or would like assistance filling out the form.
Consultant Name (if known):
Resort
Contact Details
Contact Name
Telephone
Mobile
Email
Home Address
Suburb
City
State
Postcode
Country
Number of Adults:
Number of Children:
Ages
Check in Date:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2009
2010
2011
Number of Rooms
Are dates flexible:
Yes
No
Number of nights:
Passenger Details
Names
Name as per passport
Title
Date of Birth
Passenger 1
.
Mr
Mrs
Ms
Miss
Mstr
Dr
Passenger 2
.
Mr
Mrs
Ms
Miss
Mstr
Dr
Passenger 3
.
Mr
Mrs
Ms
Miss
Mstr
Dr
Passenger 4
.
Mr
Mrs
Ms
Miss
Mstr
Dr
Passenger 5
.
Mr
Mrs
Ms
Miss
Mstr
Dr
Passenger 6
.
Mr
Mrs
Ms
Miss
Mstr
Dr
Room Details
Room Type
Room Type
Superior Hillside Room
Oceanfront Room
Poolside
Superior Terrace
Other/Not Sure Please Advise
Do you require flights?
Yes
No
From which city?
Requests
Advise any additional information and requests here