Bryn-ar-For Cottage Booking Form

Please confirm by E mail or telephone, read the terms and conditions, and then print this form and send it with your £100 deposit for each week to be booked. The balance is payable 6 weeks before the holiday. Cheques should be made payable to 'TOWYN FARM HOLIDAYS' and sent to:

GERYLLI,
GWBERT,
CARDIGAN,
SA43 1PR.

You can fill in the details on your computer before printing - (However if you do not have a printer, please email or post to us the holiday dates required, your name, address, telephone number (and email if you have one) and the names of your group, with the ages of those under 18.

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.

please tick box on right if bringing 1 dog

Total Cost (including £100 deposit) as shown on availability page.

I have read and agree to the Terms and Conditions for renting 'Bryn-ar-For'

Signed

Date