BOOKING FORM

Please send this form by fax to The NatureQuest Lodge, fax +353 65 9051843

name:.................................................................................................

address:..............................................................................................

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telephone: home .................................... work .....................................

fax .................................... e-mail: ....................................................

no. in party .................. adults .................... children

dated required: arrival ..... - ..... - ..... departure ..... - ..... - .....

No. of nights: .....

beds: ..... double ..... single

We would like to know where you heard of NatureQuest Lodge.
Please tick a magazine title from the list below.

O Birds O Ireland of the Welcomes O Birders World
O Wings O Wildlife Ireland O Discover Ireland O Shannon Development

O Other, please specify below

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