Cottage Required: _________________________
Name: ____________________________________________________
Address: ____________________________________________________
____________________________________________________
Postcode: _____________
Phone: ____________________________ Mobile: _____________________
Email address: ______________________________________________
Number of Persons: ________ Cot required? _______
Date of Arrival: _________________ Approx time of arrival __________
Date of Departure: _________________________
Deposit: ______________ (Cheques to Clashmore Holiday Cottages)
Date of Booking: _______________________
I have read and agree to the Terms and Conditions on the Information & Tariff page
Signature: _______________________________
How did you find out about us? __________________________________
Please print out and return this form with your deposit