Room reservation form

Please use the electronic form to make reservations for room(s).Please note that if you pay by credit or debit card we will charge you 2.5% banking costs.

COMPLETING THIS FORM DOES NOT ENSURE AVAILABILITY OF ACCOMODATION. PLEASE AWAIT REPLY FOR CONFIRMATION OF THIS BOOKING!

Name: Required
Address: Required
City/town Required
Province/State
Postal/Zip code Required
Country: Required
Email: Required
Phone: Required
Fax:
Arrival Date (dd/mm/yy):
Departure Date (dd/mm/yy):
No of Nights:
Share room No of persons:
Twin room No of persons:
Single room No of persons:
Ensuite Twin No of persons:
Ensuite Single No of persons:
Total number of people:
Do you want a House tour? (mark if "yes")

Enter Your Message Here (like meal requests):


If you can't submit this form, you can make a hardcopy of this page and fax or send the filled out form to Pax Lodge by mail to:


Pax Lodge, Olave Centre
12c Lyndhurst Road 
London  
NW3 5PQ 
ENGLAND 
UNITED KINGDOM 
Tel. +44 (0)20 7435 2202
Fax +44 (0)20 7431 3825

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© 2007 Pax Lodge London (UK)