Name: Please send your completed booking form to:

Dart Valley Cottages,
Parklands,
Dartmouth Road,
Stoke Fleming,
(Near Dartmouth),
Devon TQ6 0QY

Tel: +44 (0)1803 771127
Address:  
 
 
Postcode:  
Telephone No:  
Property You Require:  
Dates:  
Where did you hear about Dart Valley Cottages?:  
I enclose payment with this form:
Deposit (one third total cost of accommodation) OR £
Total Cost Of Cottage (if paying less than 6 weeks prior to holiday): £
Booking Fee: £10.00
Cot Hire or High Chair @ £8 each (if not available at cottage): £
Pets @ £17 per pet per week: £
Total Amount of Payment Included (please make cheque payable to Dart Valley Cottages): £
Security Bond (separate cheque to be paid with the balance - only required for some cottages): £
Holiday Cancellation Insurance (please provide details of your cover - company, policy no. and expiry):
 
Names of all members of party (please include age if under 18 years old):
1: 7:
2: 8:
3: 9:
4: 10:
5: 11:
6: 12:

I declare that I am over 18 years of age and agree to abide by the Conditions of Hire in the Dart Valley Cottages Terms and Conditions

Signed: Date: Please Send Me A Brochure: Yes/No
I wish to pay by: Visa / Delta / Mastercard / Switch / Maestro (delete as applicable)
I authorise you to debit my account with the amount of £_____ plus a 1.5% charge if paying by Credit Card (No charge for debit cards)
Card Number:
                               
Start Date (MMYY):
       
Expiry Date Of Card (MMYY):
       
Security Code (last 3 digits on back of card):
     
Name on Card:
Cardholder Address:  
 
 
Postcode:
Telephone No:
Signature: