Full Name:

Postal Address:

Email Address:

Telephone:

Cottage Name: The Milking Parlour Copper House Shyre Stable Rockville Cottage The Lodge

Start Date for Holiday:

Finish Date for Holiday:

Price:

Total Cost:

20% Deposit (Min £50):

Number of Adults:

Names of Adults:

Number of Children:

Names & Ages:

Details of any Pet: Please note: it is strictly one pet per cottage.

Please note - A copy of this form will automatically be sent to the email address above for your records and will also be sent to Rockville Farm Cottages.

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