Cottage Name:
Booking Form for The Lodge
Date of Holiday:
Email:
First Name:
Surname:
House name or number:
Street
Town/City
County:
Postcode:
Please fill in all sections with your contact details.
If the person paying the deposit is not the person detailed below,
please advise when paying deposit
Country:
Phone number:
Mobile number:
Number of Adults
Number of Children
Please list the names of people staying
Do you require a
cot & highchair?
Property Tariff:
Booking Fee:
Full Amount:
Deposit required, please select
(includes £15 booking fee):
Balance required 2 months before your stay
How would you like to pay?
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.
Where did you find us?
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I/We have read and understood the terms and conditions
Please read terms and conditions
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Please fill in all sections with your party information
Payment Details