GLENHEATH HOTEL ENQUIRY FORM 
        73 LORD STREET BLACKPOOL (01253) 624902         

Please fill in the form so we can confirm your booking enquiry.
Please ensure your e-mail address is correct so we can contact you.


ALL MAJOR CARDS ACCEPTED (except American Express)
 

                 * FIRST NAME:       * LAST NAME:  

                                 * TOWN:  

                             * COUNTY:       * POSTCODE:  

                                              * TELEPHONE/MOBILE:  

                                                     * EMAIL ADDRESS:  

                                                                        * required fields


                                                ARRIVAL DATE: -- Day -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- Month -- January February March April May June July August September October November December YEAR
                                                 
                                                  DEPARTURE DATE: -- Day -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 -- Month -- January February March April May June July August September October November December YEAR

                                                         TYPE OF ROOM: -- Please Select -- Single (en suite) Double (en suite) Double (standard) Twin (en suite) Twin (standard) Triple (en suite) Triple (standard) Quad (en suite) Quad (standard) Family (en suite) Sleeps 5 NO. OF ROOM(S): 1 2 3
                                                  
                                                        NO. OF ADULTS: -- Please Select -- 1 2 3 4 5 6 7 8 9 Party of 10 or more

                                                    NO. OF CHILDREN: -- Please Select -- 1 2 3 4 5 6 7 8 9 Party of 10 or more (Under 12 years)

                                      BOARD ARRANGEMENTS: -- Please Select -- Bed and Breakfast Room Only Dinner Bed and Breakfast

                                           METHOD OF PAYMENT: -- Please Select -- Credit Card Debit Card Personal Cheque

                         HOW DID YOU HEAR ABOUT US ? -- Please Select -- Google (Search Engine) Search Engine (Other) Recommended Media / Flyer/ News Advert



                                                     To secure a booking a non refundable deposit is payable
                                                 at the time of booking, this can be paid by credit or debit cards.
                                          Cheques must be received by the hotel 10 working days prior to arrival
                                              and validated with a bankers card. The balance is due on arrival.

                                            Cheques with supporting bank card must arrive 10 days in advance.
 

If you have chosen 'Party of 10 or more' please state the nature of the party

   

                                                       I have read the terms and conditions

if you do not receive a response within 24 hrs please contact the Glenheath Hotel on 01253 624902.