Glan-y-Mor 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 to the owner 6 weeks before the holiday. 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  

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.  6.
2.  7.
3.  8.
4.  9.
5. 10.
        Bed Linen  required -  number of double beds  
        Bed Linen  required -  number of single  beds  

Total Cost as shown on  availability page          

Receipt will be sent by email if an email address is provided above.

I am over 21 and have read and agree to the Terms and Conditions for renting 'Glan-y-Mor' 

Signed Date