Nepean Wishing Wells | Booking Request Form

Wishing Well or Treasure Chest Details

Which item(s) do you wish to hire? *

Delivery/Pick up? *

Are you aware that there maybe charges to deliver and/or pick up this item(s)? * YesNo

How did you hear about us? *

Four day hire start date? * Pick up's from St Clair take place after 6:30pm on Thursday or Friday nights. Returns take place either Sunday or Monday at a pre-arranged time.

The Special Event: *

Approx how many guests? *

Is there any additional information you would like to tell us? Colour theme, special requests?

Your Details

Full name * First & Surname

Contact phone number(s) * Mobile and/or home

Email address * email@domain.com

Your address * Mailing address inc postcode

Delivery Address If different from mailing address (Forbes/Cowra/Parkes only). See our Terms and Conditions (TCOH) for more information.

Facebook Fan? * YesNo You could receive up to 25% off the hire fee if you are a fan of the Nepean Wishing Wells Facebook page. #Conditions apply. #See TCOH for details. http://www.facebook.com/nepeanww

Gift Voucher? * YesNo

Voucher Code: Located at rear of card

Facebook Username: * This helps us validate that you are a Facebook fan of Nepean Wishing Wells.

Booking Confirmation

How would you like us to confirm your booking? *

Terms and Conditions of Hire

By submitting this request, you agree you have read the Nepean Wishing Wells Terms and Conditions of Hire (TCOH) on our website. We reserve the right to refuse any booking application if hirer does not agree to these Conditions. When you click submit, you will be taken to another page where you will confirm your details before submitting this form. * I agree to the Terms and Conditions of Hire (TCOH)I do not agree to the Terms and Conditions of Hire (TCOH) Nepean Wishing Wells will contact you within 24 hours to confirm your booking request.