The Old Farmhouse 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 The balance is payable 6 weeks before the holiday. Cheques should be made payable to West Wales Cottages and sent to:

West Wales Cottages
Motygido Farm,
Llanarth,  
Ceredigion. SA47 0NU  

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. 8. 
2. 9 .
3. 10.
4. 11.
5. 12.
6. 13.
7. 14.
   
Total Cost of holiday as shown on  availability page £

     Tick box if cot required     Tick box if bringing a dog     

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

I have read and agree to the Terms and Conditions for renting The Old Farmhouse  

Signature     Date 

Please tick below for beds required

Ground Floor Double   Upstairs Bunk Room -  1,2,3 or 4 
Upstairs Double   Upstairs Bunk room - 1 or 2          
Upstairs Double   Sofa bed in Bunk Bedroom