Competition Winners Booking Form

Are you a Jaz Realty competition winner? Please complete the form below to book your prize.
*Terms & conditions apply.

Winning Voucher Number: (required)

Prize: (Please select the prize you won)Coastal TourDinner for twoWeddingSpecial Occasion1 Night Stay and Dinner for Two

Last Name:

First Name:

Email:

Street Number:

Apt/Unit No:

Street Name:

Suburb:

Postcode:

Mobile:

Special instructions/information for Chauffeur:

Please provide three different time and date preferences for your prize. Please take note of the exceptions regarding the days and times below. (Please note Coastal Cruise winners will be collected from Mooloolaba)

Booking preference date and time:

Preference 1:
Date:
Time:

Preference 2:
Date:
Time:

Preference 3:
Date:
Time:

I acknowledge that I have read, understand and accept the Terms and Conditions and the NOTE below.

NOTE:
You have acknowledged that the Jaz Realty Bentley has no seat belts fitted and have read the full terms & conditions. All dates and times requested are subject to availability.
Jaz Realty and its partners can not be held responsible for any changes or inability to provide requested dates and times, all bookings are subject to availability.

Overnight Stay and Dinner for two winners: Initial pick up times from 2 pm to 4 pm. Collection times from 9 am to 10 am the following morning to be returned to their home. Dinner for two winners: Initial pick up times from 5 pm to 7 pm and return times from 8 pm to 10 pm to allow for a total 4 hour period.
Coastal Cruise Winners: This prize is for a 2 hour period and starts from Mooloolaba and travels to Noosa Heads and
back. Starting times are available from 10 am to 4 pm on Mondays, Tuesdays, Thursdays and Saturdays.
Jaz Realty will confirm a pick-up location and time. The Jaz Realty Bentley will only wait 15 minutes after the appointed
hour, so please make sure you are on time.