Reservation Form
This form is protected through SSL encryption.
* = Fields marked with an asterisk are required (Name, Email, Consent)
Your data
*Name
(required)
*E-mail
(required)
Address
Address
zip - town - county - country
Phone
Number of male guests
select
1 person
2 persons
3 persons
4 persons
5 persons
6 persons
7 persons
8 persons
9 persons
10 persons
Number of female guests
select
1 person
2 persons
3 persons
4 persons
5 persons
6 persons
7 persons
8 persons
9 persons
10 persons
Number of children age 12 and under
select
1 child
2 children
3 children
4 children
5 children
6 children
Dates
Arrival (dd/mm/yyyy)
Departure (dd/mm/yyyy)
I'm flexible on the dates. Please send offers around these dates.
Accommodation Details
Tick here for Bed & Breakfast
Type of Room
select
single room
twin room
private 3 bed room
dorm
Payment
Deposit Payment
select
cash
check
credit card
laser
bank to bank transfer
paypal
Please send us detailed Payment information.
Message
For further details, requirements, questions... Do not send credit card nor banking details until getting confirmation and further instructions by us.
* Consent (required)
* I understand that my data will be collected and stored electronically for the purpose of handling the enquiry/reservation.
These data will not be passed on without your permission. Read our
Privacy Statement here
. NOTE: You can revoke your consent at any time in the future by e-mail to
privacy@irish-homes.com
.