Eliza Lodge, Dublin - Fax or Mail Booking Form
Fax: + 353-1-671-8362

    E-mail:

    


    Your Name:

    

    Address:

    

    

    
 

    Country:

    

    Phone:

    

    Fax:

    


Requested Date of Arrival:

Number of Nights 

Type of Room and Number of Rooms Desired:
 Single Double Bed Twin Beds (=2 singles) 
 Penthouse Double Bed  Exectutive Room Double Bed
My party will consist of:
  Adults (including children over 12 years)
  Children (12 years and under)
	  Crib/Cot required
Credit Card Information
  Type of Card: Visa Mastercard American Express 
  Credit Card Number: 
  Expiration Date:       (month/year as in 08/00)
Questions or Comments?




Eliza Lodge
Wellington Quay
Dublin
Ireland

Local Tel: 01 - 671 80 44
Int. Tel: + 353 1 671 80 44
Int. Fax: + 353 1 671 8 362

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