Aqua Hotel, Shanklin, Isle of Wight
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Enquiry Form

About You...

Name:
Street Address:
Town:
County/State:
Country:
Post Code:
Home Telephone:
Work Telephone:
Fax Number:
Email:


Type of Holiday Required...

Short Break
General Holiday

Accommodation Required... (Please check box)

Single Double Twin Treble* Family**
*Treble Room has Double plus Single
**Family Room has Double plus two Singles

Number of Adults:
Number of Children:
Children Ages on Arrival:
Date of Arrival:
Date of Departure:
Number of Nights:

Ferry Details...

Port of Departure
Portsmouth Southampton Lymington
Time Over:
Time Return:

Any specific
requirements:

Aqua Hotel ~ 17 The Esplanade, Shanklin, Isle of Wight PO37 6BN • Location Map
Tel: 01983 863024 ~ Fax: 01983 864841 ~ Email:web@aquahotel.co.uk