TJ Walking Booking Form
Bed and Breakfast

Please could you complete the form then click 'Send Form'

Hint. Use the TAB Key to move through the form
Telephone No.
No spaces between digits
E-mail
First Name
Last Name
Address
City/Town
Zip Code
Country
Arrival Date
Departure Date
Number of Nights
Please Choose Room Choice
Do you require transfers
from and back to Madeira airport. 20 euro		 Yes No
Do you require transfer
one way from/to Madeira airport Price 10 euro.		 Yes No
Arrival Flight No. Time 24hr clock
Departing Flight No. Time 24hr clock
Car Hire can be arranged
would you like more details		 YesNo
Total Cost
Credit card No.
(Visa/MasterCard only)
Expiry Date
Month--Year
Security No.
(Last three digits)


Please note this form is sent by e-mail.
If you wish to make it secure just send the form with your telephone number, e-mail address, name, address, room choice, dates and transfers.
We will then telephone you for your credit card details or just telephone 00 351 291 783268 and we will do the rest.