COTTAGE BOOKING FORM

Name..........................................................................................

Address.......................................................................................

.................................................................................................

Post code......................................... Telephone number......................................... E mail…………………………………..

No. of adults................ No. of children.................... No. of Cars ………………..

No. of single beds ……… No. of double beds ……… Cot………………. High Chair…….

Dogs can only be accepted by special arrangement if no other guest has a dog there at the same time and on the condition they do not go on the furniture. No. of dogs …………….

Do you hope to use the bicycles ? Yes No

I would like to hire sheets and towels at £15 per person (£30 for a double bed) Yes No

I would like an American feather bed (£15 - double only – two available) Yes No

I would like logs at £15 per week (not avail. at The Barn) Yes No

I would like to book the cleaning service for when I leave

(£40 – depends on availability) Yes No

Please send me an Eyewitness Guide, map

and week’s itinerary visiting chateaux and wineries for £25 Yes No

Dates of holiday: Date of arrival (after 4pm) ..................................

Date of departure (before 11am) ..................................

I understand that the deposit is not returnable and full payment will be due six weeks prior to arrival.

We advise you obtain comprehensive insurance, to cover the possibility of cancellation after this date

Signed........................................................... Date.............................

Enclosed

Or my Mastercard/Visa/Switch/Solo