This form allows you to make payments securely to Connemara Country Cottages Club, using a secure payments page powered by Realex.

Please provide full details to accompany your payment for tracking purposes.

Payments should match agreements that you have made with Connemara Country Cottages Club.

Your Name:
Email:
Phone:


ADDRESS:
Street 1:
Street 2 (optional):
Street 3 (optional):
City:
State:
Postcode / ZIP Code:
Country:


PAYMENT DETAILS:
Amount payable (€):
Week Number or Date (optional):
Comment (optional):

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