On-Line Booking Form.

ON-LINE BOOKING FORM

Florida-Galway-Homes (rentals only)

Please fill in our on-line booking form. This form uses SSL encryption to secure your details, meaning that your personal and billing details are safe from hackers and unwanted viewers.

Be careful not to select the ENTER KEY or the SEND ORDER button untill you have completed the Form
* means these lines must be completed

* Your Name
* Address One
* Address Two
* Town / City
* County / State
Zip Code
* Country:
* Daytime Phone Nnumber
Evening Phone Nnumber
Best time to contact
Fax Number
E-Mail Address

* House RequiredSOUTHERN DUNES, CLEER CREEK, GALWAY
* Date Required
Arrival Time After 4 p.m.
* Departure DateBefore11a.m.
* Number in Party

IF DATES ARE AVAILABLE YOUR BOOKING WILL BE CONFIRMED WITHIN 7 DAYS BY FAX OR MAIL.
YOUR DEPOSIT WILL THEN BE DEDUCTED FROM YOUR CREDIT CARD ACCOUNT (or as per other arrangements at your request).

WHERE DID YOU LOCATE OUR WEB-SITE (radio,newspaper,etc.) Should you become a customer this information will assist us in future promotion of the Web-Site.

* Payment MethodVisa, Master Card, American Express, Other
Credit Card Number
Name on Credit Card
Expiry Date

Comments / Instructions:

Using theSend Order button will e-mail your information to us. Please be careful not to do so untill you have completed the Form. You can select the Start Again button to clear your details.
If you experience a problem Submiting the Form you can e-mail us at support@florida-galway-homes.com

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