Green Hotel Booking Form

Please supply an email and telephone number so we can contact you to confirm availability.

Name:
___________________________________________________________________

Email address:
___________________________________________________________________

Telephone: (Daytime)
___________________________________________________________________

Address:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Dates Requested:
Arrival: __________________________________________________________
Departure: ________________________________________________________

Room(s) requested:
_______________________________ price: ________________[single/double]
_______________________________ price: ________________[single/double]
_______________________________ price: ________________[single/double]
_______________________________ price: ________________[single/double]
_______________________________ price: ________________[single/double]

Credit card details:

VISA / MASTERCARD (please delete)
Name of cardholder: _______________________________________________

Card No: __ __ __ __ | __ __ __ __ | __ __ __ __ | __ __ __ __

Expiry date: M __ __ Y __ __

Please let us know if you are marking a special occasion, such as honeymoon, anniversary, or birthday, so we can provide the appropriate welcome.Children are very welcome. Please let us know if you would like child-minding or babysitting services.

You can POST this form to:

The Green Hotel, Chittaranjan Palace, 2270 Vinoba (Hunsur) Road,Jayalakshmipuram, Mysore 570 012, Karnataka, India
OR
The Charities Advisory Trust, Radius Works, Back Lane, Hampstead, London NW3 1HL, UK

Or FAX it to: