Fisherman's Loft 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 'West Wales Cottages' and sent to:

West Wales Cottages,
Motygido Farmhouse,
Llanarth, Ceredigion. SA47 0NU
Telephone 01545-580496

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.	3.
2.	4.

please tick box on right if bringing 1 dog

Total Cost of holiday

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 'Fisherman's Loft'

Signed

Date