Reservations Form

Full name : 

*

Street address : 

City or town : 

Phone : 

Country : 

Zip / postal code : 

Email : 

*
   

Credit card : 

Card number : 

Expiry date : 

3 digit number on reverse of credit card

   

Number of guests :

*

Number of rods :

Preferred arrival dates :

Departure dates :

Would you like dinner on day of arrival :

Fishing required :

Preferred accommodation :

Lodge - standard room
Lodge - lakeview room
Lodge - single room
Boathouse Cottage (sleeps 4)
Wrens Cottage (sleeps 6)

Additional information :

I HEREBY AUTHORISE DELPHI LODGE TO DEBIT THE CARD ENTERED ABOVE WITH A DEPOSIT EQUAL TO 50% OF THE CHARGES FOR THIS RESERVATION. (IF YOU PREFER YOU CAN PRINT THIS FORM AND POST OR FAX IT TO THE ADDRESS BELLOW.) *



Delphi Lodge, Leenane, Co. Galway, Ireland - Phone +353-95-42222 Fax +353-95-42296