NDIS Booking Service
STA (Short Term Accommodation), MTA (Medium Term Accommodation) & Respite.
Referrer Name
*
First Name
Last Name
Your Organisation
*
Your Email Address
*
example@example.com
Your Contact Phone Number
*
Please enter your mobile or landline number (including area code).
Who should we contact to make this booking?
*
Please Select
Please liaise with me
Please liaise with participant/carer
Participant or Carer Name
*
First Name
Last Name
Participant or Carer Email Address
example@example.com
Participant or Carer Contact Phone Number
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Accommodation Location
*
Please enter the City or Suburb and state.
Flexible with location
Yes
No
Maximum distance from specified location
Check In Date
*
-
Day
-
Month
Year
Date
Check Out Date
*
-
Day
-
Month
Year
Date
Dates are flexible
Yes
No
Required level of accessibility
*
Please Select
Assisted Walking
Independent Wheelchair User
Assisted Wheelchair User
Preferred Accommodation Type
*
Bed and Breakfast
Caravan or Camping Park
Farmstay
Glamping
Group Accommodation
Holiday house/apartment
Hotel/Motel
Houseboat
Resort
Retreat/Lodge
Serviced apartment
Number of bedrooms required
*
Please Select
One
Two
Three
Four
Five
Six
More than six
Separate room required for carer
Yes
No
Car parking required
Yes
No
Any Additional Accommodation Requirements
Please provide add any additional notes that will assist in finding the right accommodation for you.
Maximum Nightly Budget
Please provide an indication of your maximum nightly budget for the stay.
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