12 Park Street Booking Form

Please confirm your booking by E mail or telephone, print this page when it is completed and send it with your 50 deposit to the address below. Deposit cheques should be made payable to 'West Wales Cottages' and sent to:

West Wales Cottages
Nant y Gido
Maenygroes, New Quay
Ceredigion. SA45 9TR  

This booking form is to be printed and sent to us with a cheque. If you make a card payment, please complete the online booking form here.

Name of person making the booking.
Postal Address including Post Code
Telephone Number
Mobile Number
Email Address
 Arrival Date Leaving Date
Names of  all persons in your party, Ages if they are under 18
1. 5.
2. 6.
3. 7.
4. 8.

Total Cost of holiday         

A receipt will be sent immediately by email if an email address is provided above.

I am over 21 and have read and agree to the Terms and Conditions and
disclaimer for renting 12 Park Street.

Signed Date

If you have filled in your email address, your receipt will be sent in an email
and as an attached document that you can print.