Ballyrafter House Hotel - Fax or Mail Booking Form
Intnatl. Fax: 00 - 353 - 58 - 53050 Within Ireland 058 - 54002

    E-mail:

    


    Your Name:

    

    Address:

    

    

    
 

    Country:

    

    Phone:

    

    Fax:

    


Date of Arrival:

Date of Departure:

Type of Room and Number of Rooms Desired:
Double Double size bed	Twin 2 single beds	Triple 1 Double size bed 1 single

Total Number of Rooms Desired	Number of Persons

Questions, Comments, or Special Requests

Credit Card Information
  Type of Card: Visa Mastercard American Express Diner's Club
  Credit Card Number: 
  Expiration Date:       (month/year as in 08/00)
Questions, Comments, Special Requests (Tee-off times, etc.)

Ballyrafter House Hotel
Lismore, County Waterford, Ireland

Intnatl. Tel: 00 - 353 - 58 54002
Intnatl. Fax: 00 - 353 - 58 - 53050