Forget-Me-Not 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 to Mrs. M. Attrill and sent to:

Motygido Farmhouse,
Llanarth, 
Ceredigion. SA47 0NU

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 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. 4.
2. 5.
3. 6.
Baby cot  required   

    please tick box on right if bringing 1 dog    

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

  
I have read and agree to the Terms and Conditions for renting Forget-Me-Not Cottage 
Signed Date