Booking Deposit Payment Form Thank-you for booking an appointment with Mermaid Smiles. Please note that we require a booking deposit of $60 to confirm your preferred appointment time. To view our full cancellation policy please click here. Patient Appointment date Doctor Address* City* StateNew South WalesQueenslandTasmaniaVictoriaWestern AustraliaSouth AustraliaPostcode* Booking deposit Price: Credit CardCard Details Cardholder Name