Your Details
Name:
Address:
Post/Zip
Code:
Country:
Telephone:
Home
Business
Mobile
Email
Address:
Cottage Details
Cottage
Name:
Date of
Arrival: Day MonthYear
Date of Departure
Day MonthYear
No. of nights No. of Adults No. of Children
Ages of Children
Requirements
Highchair Towels @ £5 per
person
Cot
Folding bed hire @ £15 per week
(please supply own linen
for cot)
Stairgate Pets @ £15
each
Cancellation Insurance @
£10 per person (In the event of cancellation all money paid will be
refunded)
Special Requirements :
Total Payable
50% due now to secure
booking
Balance due 1 month before
travel
Payment Details
Please make cheques
payable to 'D Boyle'.
Cheque in post
Please be aware that this
is not a secure server. If you are concerned please either call or fax
through credit card details.
Credit Card
Number
Expiry
Date
eg: 0903
By submitting this form you
agree to abide by the terms.
Please tell us how you
heard about us.
