Title: Mr. Mrs. Miss. Initials: Surname:

Address:

Post Code:

E-Mail:

Daytime Telephone Number: Evening Telephone Number:

Mobile Telephone Number:

Holiday Cottage: Ash Beech Hazel Oak Elm Cherry

Dates:

From: To: Nights: Arrival Day: Saturday Sunday Monday Tuesday Wednesday Thursday Friday Departure Day: Saturday Sunday Monday Tuesday Wednesday Thursday Friday

Cottage Cost:

Number of Cars Additional Cars Cost:

2 per cottage included (3+ £5.00 per car) Please add to the total.

Use of the Luxury Bed Settee. No Yes £25.00 Please add to the total.

Use of the Z- Bed. No Yes £25.00 Please add to the total.

Pets: 0 1 2 @£20.00 each please add to the total.

Travel Cot: No Yes Free of Charge.

High Chair: No Yes Free of Charge.

Party Details:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Name: Age:

Estimated Time of Arrival:

Total Cost

Initial Payment: Deposit (£150.00) or Full amount. Bookings under £200.00 full payment.

All offers or reduced price holidays have to be paid in full at the time of booking.

Full amount if booking is within 56 days.

Final payment must be received within 56 days of your booking no reminders will be sent.

How did you find out about us?

Please Make Cheques payable to:

Paddock House Holiday Cottages.

I declare that I am over 18 years of age and agree that this booking is made in accordance with the Conditions of Hire. I agree to be held responsible for the balance of hire terms for this property, due and payable in accordance with the Conditions of Hire.

Signature:

Date:

Note:

Please right click the screen and select 'print' to copy this form. Please submit a copy and enclose a printed copy with your cheque.

Incomplete booking forms will be returned.

Paddock House Farm Holiday Cottages, Luxury Self Catering Holiday Cottage Accommodation in the Derbyshire Peak District National Park.