Barry House Hotel Booking Form

To make a booking please complete this form - PRINT - then send it by: Fax To: +44 20 7723 9775
or mail to: Barry House Hotel, 12 Sussex Place, London W2 2TP  UK

Your Name     
Email Address 
Your Address  
              
City             Region/State 
Post/Zip code     Country    
Telephone              Fax           
Type of room required:
 - Single standard room    - Single room with shower only
 - Double En Suite Room    - Twin  En Suite  Room
 - Triple En suite Room    - Family room for 4 or 5

Dates of Stay
From    To   

Number of Persons   Number of Nights 
Rate £   per night

To confirm a booking we require a deposit equal to the first nights stay
You may send a deposit by GB£ cheque or you may send your credit card details


I wish to pay a deposit equal to the first nights stay to confirm the above booking

Credit Card Number   
Valid Dates  
CVV (security number)

all major credit cards accepted (except Discover)

4 days notice is required for cancellations or charge for the first night will be made

You will be sent a confirmation within 48 hours - if you do not get one please contact us again in case your form has not been received.

Notes, Special Comments:

Now click PRINT and fax to +44 20 7723 9775

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