Booking Application

For your convenience we have an automated on-line booking application form. Simply fill in your details below and click the "Submit" button, we will endeavour to contact you as soon as possible to confirm your booking enquiry.

Please forward your application in good time to ensure availability.

We look forward to the pleasure of your company in the near future.

Title

Name

Address

Postcode

Telephone No.
(inc. std code)

Fax No.
(inc. std code)

Email

I wish to book the following in my name:

Guest House Accommodation

Double Single Twin

Extra Information:
Dietary, Disability etc.

Notes/Special Requirements

Please list below ALL persons in your party
Name	Address (if differs from above)	Age (if under 16)

Dates Required

Number of Nights

Date of Arrival:
dd/mm/yy

Date of Departure:
dd/mm/yy

Holyhead Road, Albrighton, Wolverhampton, WV7 3DA
Telephone: (01902) 372310 Fax: (01902) 375013
Email:

A Traditional Bed & Breakfast