Blaine's Bed & Breakfast

Please find below a reservation form which you can fill out for a reservation request. We will contact you within 24 hours on your request and detailed information how you can have your reservation confirmed. (please make sure you give your proper email address)

Reservation Form Arrival Date: dd-mm-yy Departure Date: dd-mm-yy Flight Information: Flight Number / Coming from? Other Arrival Information: Train / Car / Bus ... approximate arrival time

Number in Party: Double Room: Single Room:

Additional Information:

First Name: Family Name: Address: Postal Code: City: Country: Region: Telephone: E-mail Address:

Perferred form of Payment:

Cash
Eurocard/Mastercard
Visa Card

Note a service charge (4% - 5 %) will be added for payments settled with credit cards.

Credit Card Number: Valid thru:

If you perfer to leave out your credit card number for security reasons, please contact us by telephone once reservation has been comfirmed.