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Booking Request Form

Personal Details

Name

Company/Organisation

Address

Town/City

County

Country

Telephone

Mobile Number

Fax

Preferred dates of stay

From:
To:

Number of adults

Number of children

Additional Information
Please indicate here if you have any special dietary requirements or other special needs.

*It would help us greatly if you would please specify where you heard of us...

Thank you for completing our Booking Request Form
A member of staff will contact you shortly to confirm and finalise your booking.

Fortfield Farm, Donail, Kilimer,Kilrush, Co. Clare, Ireland
Tel: 065 9051457 Fax: 065 9052908 Email:fortfield@eircom.net