Name:

Address:

Telephone (and/or email):

I/we wish to book Lagnersh Cottage from Saturday ………………

to Saturday ……………………. (insert dates).

Number of adults ………. Number of children ………….

Ages of children if under 16 ………………………………

I enclose a deposit of £ ………… (bookings will be confirmed within 7 days).

Please make cheques payable to Mrs L Gavigan.

I accept the terms and conditions of booking.

Signed …………………… …………………… …………………… …………………… Date………………….