Accommodation Reservation Confirmation Form

If further details are required to confirm your reservation: Fill-in this form on-screen, Print it out and Mail or Fax it to:
NAME of YOUR ACCOMMODATION:

TYPE OF ROOM REQUESTED:
SMOKING NON-SMOKING

TYPE OF FACILITIES REQUESTED:
ENSUITE (In-room bathroom) NON-ENSUITE (shared)

TYPE OF OCCUPANCY REQUESTED:
SINGLE DOUBLE TRIPLE QUADRUPLE
Rate Quoted Per Room, Per Day in Euros €
YOUR NAME:

YOUR ADDRESS:

YOUR COUNTRY:

YOUR PHONE NUMBER(S) (Home & Business):

ARRIVAL DATE:      DAY:
DEPARTURE DATE: DAY:
NUMBER OF NIGHTS:
If applicable, type of Credit Card used: CARD NUMBER:
EXPIRY DATE:
SIGNATURE:_______________________________________
E-MAIL ADDRESS:(so the Accomodation can confirm receipt of your information.)