Availability request form for "Chiriqui", b&b, Blarney-Ireland.

Please fill out and submit the form below. We will then inform you on the availability of
rooms at Chiriqui. If you would prefer to use your regular email program instead, you are
quite welcome to do so. Just click on the Email button above.

For When ?

Enter the date of arrival.

Enter the date of departure.

Message box ?

Other information and inquiries.

For how many ?

Number of adults.

Number of children.(under 12 years)

Which Rooms ?

There are 4bedrooms in total.
2 single or double rooms and
2 twin or triple rooms.

How many Single Bedrooms.(One double bed)

How many Double Bedrooms.(One double bed)

How many Twin Bedrooms.(Two single beds)

How many Triple Bedrooms.(Three single beds)

For whom ?

Please provide the following contact information:

Name

Street address (optional)

Address (cont.) (optional)

City (optional)

State/Province (optional)

Zip/Postal code (optional)

Country

Phone (optional)

FAX (optional)

E-mail

Address

The Roche Family.	Web Page Address:&Reload http://homepage.eircom.net/~chiriqui
Chiriqui.
Canons Cross.	Email: chiriqui@eircom.net
Inniscarra.	Tel. ++353/ 21/ 871061
Co.Cork. Ireland.	Fax. ++353/ 21/ 871061

Name
Street address (optional)
Address (cont.) (optional)
City (optional)
State/Province (optional)
Zip/Postal code (optional)
Country
Phone (optional)
FAX (optional)
E-mail