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Accommodation Enquiry Form
(Self-Catering, Holiday and Graduation Days)

Please use this form to give us the relevant details of your proposed accommodation booking.

ALL BOOKINGS WILL RECEIVE A CONFIRMATION E-MAIL, THEREFORE PLEASE DO NOT ASSUME THAT YOUR BOOKING HAS BEEN ACCEPTED UNTIL CONFIRMATION HAS BEEN RECEIVED.

I wish to book the following accommodation:
0 1 2 3 4 5 6 Single en suite room
0 1 2 3 4 5 6 Room for disabled person
Arrival date: < May 2012 > Mon Tue Wed Thu Fri Sat Sun 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10  - please select a date		Departure date: < May 2012 > Mon Tue Wed Thu Fri Sat Sun 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8 9 10  - please select a date
Details of person making the booking
Title		Please select Mr Mrs Ms Miss Dr Rev
First name
Last name
Address
Post code
Telephone number (daytime) including full dialling code
Mobile telephone number
E-mail address
Contacting you
How would you like to receive a reply?		Telephone Fax E-mail Post
Add names of other residents - a list will appear below
Title		Mr Ms Mrs Miss Dr Rev
First name
Last name
Age (if under 18)		over 18 0-1 year 1-3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years
Press the add name button
Any special requests
Please tick here if you do not wish to be placed on our database for any contact in the future.
Thank you for completing the form. Please check the information you have provided and then click "submit" to send us your details. The Conference Office will contact you as soon as possible after we receive your enquiry.
Disclaimer Information submitted via this form is treated as confidential. Data will be used by Venue Essex for the purpose of marketing and monitoring sales and will be deleted when it is no longer needed for this purpose. No personal details will be passed on to third parties.

 

 

Page last modified on 23 February 2006.