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
Please be aware that room rates may vary during peak periods
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.

Room rates may vary during peak periods - contact Concierge to confirm on +61 3 9654 3200

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