booking form
Having read our Terms and Conditions please telephone to confirm availability, a provisional booking will be made and held for 4 working days. To confirm the booking complete this form in BLOCK CAPITALS, sign it and return it within the 4 days with your deposit to:

Mr G M Smith, 1 Swan Mews, Wendover, Bucks, HP22 6EZ

Once we have received either your deposit or full payment we will send you your holiday confirmation including the name and telephone number of the person whom you must contact prior to your holiday.

applicant’s full name ............................................................................................................................................................

address ...................................................................................................................................................................................

contact tel. no (s)....................................................................................................................................................................

holiday cottage name ...........…...........................................................................................................................................

arrival date (after 4pm) ......…...... departure date (before 10.30am) ............. number of nights ....................

cottage rental for period required £.......................

use of highchair (FREE where available) Y/N use of cot (FREE where available) Y/N

use of sofa bed (FREE where available) Y/N do any of the members of the party have a disability Y/N

we want the following beds made up: double twin one/two (delete as applicable or caretaker will use discretion)

dogs (2 max. where permitted) @ £25 £....................... number of people in party: adults ............... under 18s ................

names of people in party (incl. ages if under 18):..............................................................................................................

I claim 10% discount for rebooking (state date of previous booking) ........................................................................
please send 50% of rental (excl. extras) to confirm your telephone reservation, or if your holiday begins within 4 weeks of the date of booking
please send full payment (incl. extras)

total amount enclosed £.........................................

please make cheques payable to ‘Mr G M Smith ’ and write your name and address on the back.

how and where did you hear about us? ...........................................................................................................................................

declaration

I declare that I am over 18 years of age and agree that this booking is made in accordance with the Booking Conditions and the terms of the booking form above. I agree to be held responsible for payment of the balance due in respect of the property in accordance with the Booking Conditions. I/we will take care of the property and its contents and will replace or pay for any articles damaged, chipped or lost and will leave the property in a clean and tidy condition and will return the key to the person or place from where I/we obtained it.

signed on behalf of the party .............................................................................………. date ...................................