Reciprocal Accommodation Room Booking Form

Athenaeum Club Reciprocal Member Accommodation Booking Request Form
Reciprocal Member Name*

PrefixFirst NameLast Name
Reciprocal Club Name*
Reciprocal Club Member Number*
Reciprocal Member Mobile Number*
Reciprocal Member Email Address*
example@example.com
Preferred Room Type*
Number of Guests*
Guest Name/s
Arrival Date*
Departure Date*
Special Requests
Tell us of your special requests or needs like a DDA-compliant room, dining reservations, event bookings etc.
Stay includes a continental breakfast per person each morning.

Reciprocal members and guests of the Club are reminded that an additional 10% service charge is applied to their total account.

Payment details: credit card accepted upon check-in (payment of accounts only). Mastercard, Visa and American Express welcome - surcharges apply.
Rates are quoted in Australian Dollars and are inclusive of GST.
Submission Date*

DayMonthYear
Date
Should be Empty:

Athenaeum Club Reciprocal Member Accommodation Booking Request Form