Complete this form and confirmation of your booking will be made by email or phone. Personal Details Your Name*: Street Address: Suburb/Town: Post Code: Contact Number*: please include Area Code Your Email*: Accommodation Details Select Room:No Room SelectedDouble Standard Room (Max 2 guests)Queen Ensuite Room (Max 2 guests)Queen Ensuite Room (Max 3 guests)Queen Standard Room (Max 2 guests)Standard Family Room (Max 4 guests)Standard Family Room (Max 3 guests)Single Standard Room (Max 2 guests)Twin Room (Max 2 guests) Arrival Date: DD/MM/YYYY Number of nights: Special Requests: Anti-Spam Check: Please enter the code you see below The management and staff of the Mole Creek Hotel will be pleased to discuss your needs. On receipt of your request to book overnight accommodation, you will be contacted to confirm your requirements. Higher rates may apply at peak times such as Easter of Christmas school holidays and you will be advised accordingly. There may be other arrangements that can be made to ensure your stay to caters for your needs. Details will be discussed with you before finalising your booking. Please ensure that your contact details are complete.