Quote Form Quote Form Use this form to request pricing and availability for a booking reservation at Pacific Regis Apartments. If you are human, leave this field blank. Personal Details Given Name * Family Name * Email Address * Mobile Phone Number If you are outside Australia please provide the country code. Home/Work Phone Number if you are outside Australia please provide the country code. Address Line 1 * Address Line 2 Suburb/Town * Postcode/Zipcode * Country * Booking Details Room Type * Two Bedroom Standard Two Bedroom Premium Early Check-in required No Yes Late Check-out required No Yes Check-in Date dd/mm/yyyy Check-out Date dd/mm/yyyy Number of Adults * Number of Children Keep me up to date with specials all year round * Yes No Join the email list and get notified when a new special is on.