Ach na skia Croft

Secure Booking Form

Please complete all fields marked with a star *
Title First Name Surname*
Address*
 
  Post Code *
Telephone* Mobile
E-mail *
Arrive Depart
Property Estimated time of arrival (AFTER 4P.M.)   
Names of all other adults in party
 Names of all children in party
Age
BASIC RENT PAYABLE £
LINEN (if required) at £10per person  Double bed  Single bed  £
TOWELS at £3 each £
COT at £5p.w. £
HIGH CHAIR at £2p.w.   £
DOG @ £25p.w. £
TOTAL AMOUNT PAYABLE £
DEPOSIT ENCLOSED - 50% of total £
Balance due one month before arrival £
£50 security deposit cheque enclosed. Please send by post if sending form electronically.   
To help with our marketing please let us know how you found out about us
"Other" - please specify
PLEASE READ OUR "TERMS AND CONDITIONS"      I have read and agree to abide by the terms and conditions *
Card no.    Card type   Issue no. if applicable
Name on card Card Security Code   Start date: dd/mm/yy Expiry date: dd/mm/yy
Cardholder's address if different from above  
 
 
   Post Code    
Any other information
When you are sure you have completed everything correctly, print a copy for your own reference then click once on the submit button.