Booking Form
| Name | ![]() |
| Address | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
| Post Code | ![]() |
| Telephone No. | ![]() |
| Email Address | ![]() |
| Names of other members of party | ![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
![]() |
| Dates Cottage required: From | ![]() |
| To | ![]() |
| Fold-up (Zed bed) Rqd? | ![]() |
| Total cost of the Holiday (To be paid 8 weeks Before arrival.) |
![]() |
| Deposit to be paid on Booking (25% of the total cost.) |
![]() |
Your Signature below means that you agree to the terms and conditions of booking, as noted on the "Tariff & Terms" page.
Please send the completed form and cheque to:-
Mrs E.J. Hale, Willow Tree farm, Admington, Shipston-on-Stour, Warwickshire. CV36 4JJ.
(Cheques to be made payable to Mrs E.J. Hale)
Signature....................... Date...................
