Booking Form

Anglesey Coastal Cottages

Rhyd-y Bont Farm, Rhoscolyn, Anglesey, LL65 2RQ.

01407 741 897

Info@angleseycoastalcottages.co.uk

Booking / Enquiry Form

Please enter on another sheet or email the names & addresses of members of your party

who live at another address

HOW TO PAY

For Booking Deposits & Rental Balances

Pay either by Card or Cheque payable to

‘SM BERMINGHAM’

For Short Breaks, Special Offers, Holidays within 7 weeks

& Damage Deposits

payable by Card only

Company Cards are not accepted

PAYMENT BY CARD

Please phone 01407 741 897 to give Card details

PAYMENT METHOD USED

BOOKING CONDITIONS ACCEPTANCE

I am over 18 years of age,

have read & understood all the Booking Conditions & agree to be bound by them either by pressing the SUBMIT button below or by returning a signed copy by post

(This doesn’t apply for an enquiry)

SIGNATURE

Where did you hear of Anglesey Coastal Cottages?

SPECIFY BED SIZES (see property details)

I accept the booking conditions

ENQUIRY

BOOKING

Holiday Cottage

From 10am on

to 3pm on

Home Address

Postcode

Name of person booking

Name of person paying

Address of the person paying

Home telephone no

Work telephone no

Mobile no

Number of Visitors

Which magazine or other source?

If from the Internet, which search engine ?, which site ? & which search words ?

Adults

Teenagers

Children

Ages

Babies

Double 4ft 6"

Double 5ft

Double 6ft

Single

Details of Special Requirements

DOGS no of

Ages

State Breeds, Long/Short Hair, Large/Medium/Small

Cheque

Cheque in the Post

Please Debit my Card

RENTAL

Less Discounts

Net Rental

Extra Dogs

Extra Visitors

Extra Days

Total Rental

PAYMENT BY CHEQUE or CARD

for Deposit - 30%of total rental, minimum of £100

PAYMENT BY CARD ONLY for Short Breaks, Special Offers Holidays within 7 weeks

Credit Card Charge @ 2.5%

Damage Deposit - BY CARD ONLY

Payment Total

YES

Postcode

DATE