Thursday, 09 September 2010

Reservation Name:
  *
Reservation Date:
  *
Total No. of Guests:
Daytime Telephone Number:
  *
Email Address:
  *
Expected Arrival Time:

To secure your reservation please complete your credit card details below:

Cardholders Name:
  *
Credit/Debit Card Billing Address:
  *
Postcode:
  *
Credit Card No:
  *
Start Date:
Expiry Date:
  *
Type of Credit/Debit Card:
Visa
Mastercard
Switch/Maestro
Diners
Delta
  *
Issue Number (Switch Maestro):
Security Code (last 3 digits on signature strip):
  *

I agree; A) to the above B) to a charge of 50% of the agreed total price charged being deducted from my card in the event of a no-show on the above date and C) that my booking can be altered or cancelled up to one week before the above date without incurring charge. The venue reserves the right of admission (ROAR). Your computers IP address is stored to verify your digital signature.

I agree (Digital Signature IP Signed)
  *








Send me a copy
* Required field
Nang Rong Hotel Book Now
North Wales Web Design