Booking Form

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Mobile Number *

Address *

Postcode *

Flatlet Choice *

Arrival Date *

departure date *

Please find enclosed deposit *

This should be calculated at 25% of the total amount. All balances due four weeks before arrival

Number of Adults *

Number of children *

Parking Space required *

If you would prefer us to take your balance from your card when it is due (4 weeks prior to arrival) then please tick this box to authorize us to do so *

Yes No

Please state any disabilities or special needs that you may require *

Signed. *

By signing you are agreeing to our terms and conditions stated on our website.
Check-in is 3pm on day of arrival and Check-out is 10am on day of departure.

Submit

Booking Form

The Victorian Lodge