Amherst Lodge Email Confirmation Form

If you would like to send us your credit card details and booking confirmation by email, please copy and paste this form into your email package and send it to the following email address:  

When you come to a question with several options, please delete all those which do not apply:

Name:      

Email address:       

Postal Address:   

Card Type:      Visa   MasterCard   Switch     Delta

Card Number:      

Expiry Date: (Month/year)

Is the card registered in your name at the address shown above?:    Yes       No

Date of arrival at Amherst Lodge:  (Day/month/year) 

Departure date:   (Day/month/year)  

Number of nights:   

Number of people in party:   

Number of rooms:

Type of accommodation required:   Large Double   Regular Double     Twin with Bath     Twin with Shower

Comments or Special Requests:

I agree to be bound by the booking terms and conditions as shown on the Amherst Lodge web site.