Accommodation Booking Form 

Contact Information

Name   
Postal Address 
Nationality
Telephone Number 
Fax Number
Email Address

Type of Accommodation - Self Catering Cottage

You are booking Red Jacks Cottage Portumna, Co Galway

Please indicate the bed nights required

 from year Month Date  

 to year Month Date

Please select

 

Special Needs Request

If you have any special needs or requests before you arrive e.g. a baby's cot, ground floor etc,  please use our comment box to indicate your request

 


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Last modified: September 24, 2002
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