Accommodation brief

* indicates required field

Client name*:

Company name:

Address*:

Tel. No*:
Fax No:
E-mail:



Where would you like to stay*?: (Please give as much detailed information as possible)

Likes, dislikes and any other useful information:

Preferred star rating:

Budget*:

Leisure requirements:



Dates*:	Arrival:
	Departure:

Number of guests*:	(Full details of guests will be required upon confirmation of booking)

Room type and number*:	single: double: (Please note - a number must be entered in each box)

Room only or room and breakfast?:



Account instruction: (departure/credit card to guarantee)

Any special requirements

How did you hear about NexusVenue?

If you would prefer, CLICK HERE to print this page and fax to us on (01793) 739 282