Penwaun Cottage Booking Form

Please confirm by E mail or telephone, read the terms and conditions, and then print this form and send it with your one third of total price deposit for each week to be booked. The balance is payable 6 weeks before the holiday. Cheques should be made payable to 'S. Kiernan' and sent to:

Penwaun Cottage Holidays,
Tanglwst, Capel-Iwan,
Newcastle Emlyn, Carms
SA38 9NJ

Cottage Required

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

Bed Linen required - number of double beds

Bed Linen required - number of single beds

Tick box if bringing a dog (some cottages only) £25 per week or part week

Total Cost of holiday

I am over 21 and have read and agree to the Terms and Conditions for renting a cottage at
Penwaun Cottage Holidays

Signed

Date