The Large Barn Booking Form

Please confirm by E mail or telephone, read the terms and conditions, and then print this form and send it with your £250 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.	8 .
2.	9 .
3.	10.
4.	11.
5.	12.
6.	13.
7.	14.
	15.

Total Cost of holiday

Tick box if travel cot is required Tick box if high chair is required

I would like to have the cooker (s) cleaned for me @ £60 per cooker:

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

I have read and agree to the Terms and Conditions for renting The Large Barn

Signed

Date

Important - please use the diagrams below to choose the beds that you require

First Floor

Please click the beds below that you need made up for your group ( or tick the boxes after printing )