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Please complete the following form to make a secure online reservation and one of our friendly staff will respond to you via e-mail or telephone as soon as possible to confirm your booking. Alternatively you can email us at enquires@baileysmotel.com.au or see below for telephone and facsimile details. Details Name Postal Address Email Address Phone Number Fax Number Date of Arrival Time of Arrival Date of Departure Number of Adults Number of Children   Requirements Full Cooking Facilities Downstairs Room Disabled Room Additional Information   Credit Cards - We accept Visa, Mastercard, AMEX (+ 4% surcharge for AMEX only). Credit Card Type Visa Mastercard Diners AMEX Other Credit Card Number Name of Cardholder Expiry Date Month/Year     Baileys Hotel Motel, 150 Bennett st, East Perth, 6004 Phone: +61 8 9220 9555, Fax: +61 8 9221 1046, Toll Free: 1800 199 477 This website is desigend and maintained by West Coast Pals ©2007