Plas-y-Wern 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 £100 deposit The balance is payable 6 weeks before the holiday. Cheques should be made payable and sent to:

Mrs. A. Dulyn-Thomas
Tyddyn Hen,
Plas-y-Wern,
Gilfachreda, New Quay
Ceredigion, SA45 9ST

You can  fill in the details on your computer before printing  - (this form must be printed and sent with your deposit by post). Click a small box to choose a cottage below.

I wish to book Pen Pelyn Cottage (sleeps 4)     
I wish to book Llidiart Pelyn Cottage (sleeps 2)
 
Name of person making the booking.
Postal Address including Post Code
Telephone Number
Email Address
Date - Arriving:

 Leaving:
Names of  all persons in your party, Ages if they are under 18
1. 2.
3. 4.
Pet Type or breed 

Total Cost (to include £100 deposit)  as shown on  availability page

 £
  I have read the Terms and Conditions for renting a Plas-y-Wern Cottage      click here

 ( Click here to see the  Terms and Conditions for renting ).
Signed Date