PREFERRED COTTAGE: ..........................................................
ARRIVAL DATE: ...............................................................
DEPARTURE DATE: ..........................................................
CONTACT PERSON (Mr/Mrs/Miss/Ms/Other): ..........................................................
TELEPHONE: Day .....................................................
Evening ........................................................................
Email: ..........................................................................
ADDRESS:  ..................................................................................
.................................................................................................
.................................................................................................
.........................................................   Post/Zip Code:.................

NAMES OF PARTY MEMBERS. plus age if under 18
Block Capitals please
1. ____________________________________________
2. ____________________________________________
3. ____________________________________________
4. ____________________________________________
5. ____________________________________________
6. ____________________________________________
7. ____________________________________________
8. ____________________________________________

No. of DOGS: ( if any ) ............... @ £1.50 / dog / night or £10 / week: £ .............
No. of Horses: ( if any ) .................................... DIY @ £7 / horse / night £............
Short break cost ( min. 2 persons 2 nights )....... @ £17.50 / person / night £...........

ADDITIONAL REQUIREMENTS Cot (excl. bedding): Yes/No; High Chair: Yes/No
If logs are used payment at the end of your stay.
Any other details ................................................................................................................

COST (see TARIFF for details): ....................Total cost of week(s) stay ) £ .............
ENCLOSED AMOUNT:
Deposit to secure booking............................................ ( £80 / week / cottage ) £ ..............
AND THEN: Balance in full 2 weeks before arrival if your first visit to Westermill £ .............
OR: .............................................Balance on arrival if you are on a return stay £ ..............

TOTAL PAYMENT ENCLOSED £ ....................
PLEASE SIGN AND DATE BELOW AND ENCLOSE A CHEQUE MADE PAYABLE TO

"WESTERMILL FARM LTD"

I have read the ‘Terms and Conditions’ and agree to abide by them:

Signed: ............................................................................... Date: ......................................

A receipt confirming payment will be sent.
Where did you hear about us?
Return Visit: ............................................Recommendation: ..............................................
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