The Old Dairy 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 'The Old Dairy' and sent to:

Mrs. F. Jones
61 Coedglas Road,
Llanishen,
Cardiff - CF14 5EJ

You can  fill in the details on your computer before printing - (this form must be printed and sent with your deposit by post)

Name of person making the booking.
Postal Address including Post Code
Telephone Number
Email Address
 Arrival Date Leaving Date
Names of  all persons in your party, Ages if they are under 18
1. 4.
2. 5.
3. 6.
Baby cot  required          
Total Cost (including £100 deposit) as shown on  availability page £

I have read the Terms and Conditions

please click here
Signed Date