BOOKING FORM                                 

Mr/ Mrs Names in party Age if under 18 Address
       
                                                  Postcode                                        
      Tel No                                  Email
      Date of Holiday
      Name of Cottage Required
      Please complete  the following , (unless you are supplying  your own)
      Linen:  No of doubles @£6                 No of singles @£4        
      Towels No of sets  (1 bath & 1 hand) @£3                            
       Cot                   Highchair
                        

I certify on behalf of the persons named above that we have  read and agree to accept the terms and conditions.      Signed…………................          Date……………

PLEASE RETURN TO  Mrs. J.A.Chapman, Higher Bamham Farm, Launceston, Cornwall.  PL15 9LD.  Tel. 01566 772141  Fax  01566 775266 email jackie@cottages-cornwall.co.uk

PAYMENT  DETAILS

I enclose cheque/PO made payable to J. A.CHAPMAN  for £……………… as a deposit being 30% of the total or £……………being full payment if the booking is made within 8 weeks of the holiday  date.

PAYMENT BY CREDIT CARD

Please charge to my credit card (details below)

A)     My deposit being 30% of the total £………………..

B)      The full cost of my holiday if within 8 weeks of holiday date £………………

We accept   VISA/ DELTA/ SWITCH/ MASTERCARD/ EUROCARD (Please delete as necessary)

Amount £

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 Cardholders Signature………………………… Date………………………     Cardholders Name ……………………Address (if different from booking form)