Brynteg 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 £125 deposit The balance is payable 8 weeks before the holiday. Cheques should be made payable to Mrs J. Stenner and sent to:

Mr and Mrs A. Stenner
Rose Cottage,
Rookery Lane,
Pilning,
Bristol BS35 4JN.

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

Departure Date

Names of all persons in your party, Ages if they are under 18
1.	3.
2.	4.

Total Cost of holiday

Tick box if receipt by post is preferred OR Tick box if receipt by Email is preferred

I am over 21 and agree to the Terms and Conditions for renting Brynteg Cottage

Signed

Date