Cottage Name:
Date of Holiday:
Email:
First Name:
Surname:
House name or number:
Street
Town/City
County and Country
Postcode:
Phone number:
Mobile number:
Please list the names of people staying?
Number of Adults
Number of Children
Do you require a
cot & highchair?
Property Tariff:
Deposit required, please select
(includes £10 booking fee):
How would you like to pay?
Balance required 2 months before your stay
Please type the following numbers and letters in the box
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If you have any problems submitting this form please email us info@islandholidaycottages.com
with your name, address, telephone number and the property you wish to book.
Booking Fee:
Full Amount:
Please read terms and conditions
Please fill in all sections with your contact details.
If the person paying the deposit is not the person detailed below,
please put their name in the 'extra information' box
Please fill in all sections with your party information
Payment Details
I/We have read and understood the terms and conditions
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