Rosemary 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 for each week to be booked. The balance is payable 6 weeks before the holiday. Cheques should be made payable to 'Mrs. M. Attrill' and sent to:

West Wales Cottages,
Motygido Farmhouse,
Llanarth, Ceredigion. SA47 0NU
Telephone 01545-580496

You can fill in the details on your computer before printing - (However if you do not have a printer, please email or post to us the holiday dates required, your name, address, telephone number (and email if you have one) and the names of your group, with the ages of those under 18, Please mention any special requirements - cot, junior bed, pets etc )

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.	5.
2.	6.
3.	7.
4.	8.

please tick box on right if bringing 1 dog

Number of cots required (1 or 2)	Number of highchairs required (1 or 2)
Bed Linen required - number of double beds
Bed Linen required - number of single beds
Junior bed linen required

Total Cost (including £100 deposit) as shown on availability page and to include additional charge for bed linen if required (£25 per week)

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

I am over 21 and have read and agree to the Terms and Conditions for renting 'Rosemary Cottage'

Signed

Date