Lanlas 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

You can fill in the details on your computer before printing or after printing

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.	7 .
2.	8 .
3.	9.
4.	10.
5.	11.
6.	12.

Total Cost of holiday as shown on availability page

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 Lanlas Farmhouse

Signature Date

Please tick below for beds required