NonSmokingZone Hotel Listing Form

List your hotel, guesthouse, farmhouse or B&B with us!

Please fill in the form below, and we will reply directly with further details and payment instructions.

(Fields marked with * are required)

* Level of Listing (please select):
(please refer to Services page for descriptions)

* Payment Method (please select):

* Smoking Status (please select):
No smoking on premises
Smoking permitted in these areas (please list):

Contact Information
* Name of Business:

* Name of Proprieter or Contact:

* Street Address:

* Town and County/Region

* Post Code:

* Country:

* Email:

Website: (if applicable)

* Telephone:
Fax:

Facilities:
Number of rooms
Number of ensuite rooms

Tick all that apply:
Children Welcome Minimum age
Healthy Cooking/Special Diets
Evening Meal Available
Sporting Facilties or Equipment Available
TV in Room
Bar
Lift Ground Floor Rooms
Quiet Rooms
Pets Allowed
Private Parking
Disabled Access

Price Band (high season; per person unless otherwise stated):
Band A: under Ł20 / €30
Band B: Ł20 - Ł30 / €30 - €45
Band C: Ł30 - Ł40 / €45 - €60
Band D: Ł40 - Ł50 / €60 - €75
Band E: over Ł50 / €75

Listing Description:

Features & Additional facilities - FREE listing
(Limit: 60 characters):

Features & Additional facilities - PAID listing
(Limit: 250 characters):

Please tell us how you found our site:

Other:

* Level of Listing (please select): (please refer to Services page for descriptions) * Payment Method (please select): * Smoking Status (please select): No smoking on premises Smoking permitted in these areas (please list): Contact Information * Name of Business: * Name of Proprieter or Contact: * Street Address: * Town and County/Region * Post Code: * Country: * Email: Website: (if applicable)
* Telephone:****	Fax:
Facilities: Number of rooms Number of ensuite rooms
Tick all that apply: Children Welcome Minimum age Healthy Cooking/Special Diets Evening Meal Available Sporting Facilties or Equipment Available TV in Room Bar Lift	Ground Floor Rooms Quiet Rooms Pets Allowed Private Parking Disabled Access
Price Band (high season; per person unless otherwise stated): Band A: under Ł20 / €30 Band B: Ł20 - Ł30 / €30 - €45 Band C: Ł30 - Ł40 / €45 - €60 Band D: Ł40 - Ł50 / €60 - €75 Band E: over Ł50 / €75
Listing Description: Features & Additional facilities - FREE listing (Limit: 60 characters): Features & Additional facilities - PAID listing (Limit: 250 characters): Please tell us how you found our site: Other: