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Reservation Request Form

Use this form to reserve your place at the guest house.
A deposit of £20.00, or 10% per night, whichever is greater, is required,
or rooms can be reserved on receipt of full credit card details.
Bookings are not valid until they are confirmed by Grosvenor House Buxton
Please read our Booking Conditions before completing the form.

Please note that all fields marked with a * are required

*Last Name

*First Names

*Address

*Post or Zip Code

*e-mail address

*Telephone

Number of nights

*Arrival Date:

*Departure Date:

Number of Rooms required:

Double Room...

Pavilion Double / Twin,j.


Pavilion Triple Room..l.

Single occupancy.l....

Additional Notes

*Booking
Conditions Read

Today's Date:

.


This form will not be posted
unless you have read the
booking conditions