Chimneys Guest House Registration Form

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Arrival Date* This field is required.Please provide your estimated arrival time
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Departure Date* This field is required.Please note our check-out time is 10:00 hrs of the day of departure. Let us know your estimated departure time.
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Room Type* This field is required.Please select the room(s) you've booked
Standard Single Room (1 Person)
Small Double Room (1 Person)
Standard Double Room (1-2 People)
Twin Room (1-2 People)
Triple Room ( 3 Single Beds, 1-3 People)
Family Room (Double & Single Beds, 1-3 People)
Master Bedroom (1-2 People)
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Booking duration
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Total number of nights
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Number of people in your booking reservation
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Total number of people in your group
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Lead Guest Full Name (as appears in Travel Documents/Passport)* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
Email Verified
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Please check your mailbox and paste the code below to complete verification
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Mobile Number* This field is required.
Country Code
Phone Number
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Home Address* This field is required.
Street Address
Street Address Line 2
City / County
Town / Province
Postal / Zip Code
Please Select
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Other
Country
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Date of Birth* This field is required.You must be 18 years old or over to make a booking.
Date
Day
Month
Year
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Nationality* This field is required.
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List all members of your booking reservation and their nationality If applicable, list the name and nationality of all members in your booking reservation
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List all guests under 18 years old in your reservation If applicable, list full name and age of any children under, who must be accompanied by an adult
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Do you require a parking space for your vehicle ?* This field is required.
Yes - please complete this section
No - please go to the next section
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Vehicle registration number
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Vehicle make Select your vehicle manufacturer from the drop down list
Acura
Alfa Romeo
Audi
BMW
Bentley
Buick
Cadillac
Chevrolet
Chrysler
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Jaguar
Jeep
Kia
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Mercury
Mini
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Porsche
Ram
Rivian
Saab
Saturn
Scion
Smart
Subaru
Suzuki
Tesla
Toyota
Vauxhall
Volkswagen
Volvo
OTHER
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Vehicle modelType the description of your vehicle model
For example, BMW X7
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Vehicle colourselect the colour of your vehicle from the drop down list
Beige
Black
Blue
Brown
Gold
Green
Grey
Indigo
Orange
Purple
Pink
Red
Silver
Violet
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Yellow
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Please submit a clear and complete image of your valid photo ID* This field is required.You can take an image with your phone/tablet or provide one from file. The image must show valid from/expiry date and all fields of the document you are submitting.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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Key terms and conditions - please read and tick all the boxes* This field is required.
1. Check-in opens from 1400 to 2100 hrs, unless agreed in advance with us
2. Check-out time is by 1000 hrs
3. Smoking is strictly prohibited in the premises
4. Guests are requested to read our fire safety notice on the door of rooms.
5. Breakfast timings are: Monday-Friday: 0700-0830 hrs; Sat-Sun: 0830-0930 hrs
6. Where rooms are booked for single occupancy, dual occupancy is not permitted unless the appropriate upgrade is registered and paid for in advance.
7. Guest will be charged for damages, soiling or staining, breakages or removal of any Chimneys Guest House (CGH) property, during or should it come to light after your stay, to cover cleaning, repair or replacement of items, along with the loss of revenue of rooms and services awaiting attention.
8. Replacement of bedroom keys and umbrellas are charged at £25.00 each. Please note CGH front door key loss will result in a charge of £150.00 due to key lock mechanism change and new keys
9. Guests must not: (a) access rooms and areas marked ‘PRIVATE or STAFF ONLY’; (b) invite visitors into Chimneys Guest House (CGH). Our insurance do not cover for people who are not registered as our guests; (c) not bring any potentially dangerous or hazardous materials or equipment onto CGH; (d) use technology, such as Wi-Fi/internet access, provided by CGH to download, upload or access any unlawful or obscene material; (e) use their shoes in CGH. We operate a ‘no-shoes’ in the guest house policy; (f) consume or store take-away meals in their room(s). This avoids soiling or staining of bedding, carpets, towels and other materials and equipment, including unpleasant odour, and forms part of our due diligence and prevention measures against rodent and insect infestation. Use of the Dining Room is for food prepared and served by CGH only.
10. Food allergies and intolerances: please speak to a member of staff about the ingredients in our dishes before placing your order. Be advised that due to the risk of cross contamination, we cannot be sure that our food is free from all allergens.
11. Failure to comply with the above terms and conditions will result in the termination of your reservation and/or fine as determined by CGH management.
12. I hereby agree to the terms and conditions stated above and that all information provided by me is true.
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Date of agreement to our terms and conditions* This field is required.
Date
Day
Month
Year
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Lead Guest Signature* This field is required.Please sign within the box
Clear
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How did you make your reservation with us?* This field is required.Please select from the drop down menu
Chimneys Website
Booking.com
Expedia & Partners
Phone/In-Person
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Reservation Payment* This field is required.Please select your payment type. We will send you an invoice with a secured payment processing link direct to your email address for 'pay online' or 'pay via direct bank transfer' requests. Payment must reach us before your arrival.
Pay online
Pay via direct bank transfer
Pay on arrival - all major cards and cash (GBP) accepted
Paid via booking channel
Paid over telephone
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Please verify that you are human* This field is required.
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