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.