Names
Main Residence Address
Post Code
Telephone (fixed line)
Telephone (mobile)
Email address
Total No. Persons in Party
No. of Adults (over 21yrs)
No. of Adults (18-21yrs)
No. of Children (under 18yrs)
Arrival Date
No. of nights
Any Message
I/we confirm that we have read and agree to be bound by the terms and condiitions listed on the "Terms" page. Please note that this form will not be sent to us unless you signal your agreement of the above by "clicking" on the box opposite	Click to agree terms & conditions
	Click to send this form to Lavande Cottage

To make a booking, please ensure that you have already sent an enquiry form to us from the "Enquiry Page" to check that the cottage is available on the dates you require. Having been advised by us that it is available, please read, and agree the terms and conditions of rental on the "Terms Page", then complete all the boxes below and send the form to us. Once this form is received and accepted, we will send you our UK Bank Details for you to transfer the £100 Reservation/Breakages deposit required. Once this is received we will then formally confirm your reservation.