Please print and return Order Form To: Fleur De Lys PO Box 36-227 Merivale, Christchurch New Zealand Fax: +64 3 355 1921

Circle the property you have chosen.  Chamber Towers: Burgundy  /   Le Petit Chamber Towers: La Vista  /   Fitzgerald Avenue  /   Forth Street  /   Maison Leader River Road

Date From	Date To	People

Property	Per Day	Number of Nights	Sub-Total
Chamber Towers - Burgundy	$280
Chamber Towers - Le Petit	$280
Chamber Towers - La Vista	$280
Fitzgerald Avenue	$225
Forth Street	$180
Maison Leader	$180
River Road	$250
Total ($NZ)

Name	____________________________________________________________________
Company	____________________________________________________________________
Address	____________________________________________________________________
City	______________________________	Zip/State	__________________________
Country	______________________________
Phone	______________________________	Fax	__________________________

Your e-mail (for confirming order) __________________________________________________

Credit Card Details:	Name	____________________________________
Amex - Mastercard - Visa Please circle one	Number	____________________________________
	Expiry Date	____________________________________
	Signature	____________________________________

Note:

Credit Cards accepted, 20% Booking Acceptance Deposit, Balance Debited upon Arrival.