Reservation Form

Click here to download and print out the reservation form in PDF format for mailing
alternatively fill in the form below
* = Required

Please Reserve from 3 pm on
to 10 am on for adults and children
at £ per week.            

Do you already have holiday insurance cover?(tick for yes)
If not, would you like us to forward recommended policies?

Please order pints of milk daily and dozen eggs for my arrival.

Any special requirements:

I request permission to bring my small dog (breed ) and acknowledge that I will adhere to the conditions in paragraph 7 of the Conditions and further, I accept full responsibility for any damage caused by my dog. (Dalegarth only).

Title:
Mr Mrs Miss Ms Other
Name: *
Address:
Telephone no: E-mail *

Please indicate your preferred method of payment:

Please make cheques payable to: D. & S. Lusted
Debit Cards (Switch, Maestro, Delta, Electron & Solo) - No handling charge.
Credit Cards (Visa & Mastercard only) - We regret a £4 handling charge.
For payment other than by cheque contact us on 01756 760877.

Please list names of all occupants:

We would appreciate your answers to the following questions:

Will this be your first visit to us?

Yes

No

If 'YES', how did you find us?

If 'NO', we are delighted to be welcoming you back, and wonder how many times you have visited us in the past?

And when was your last visit to us?

"Thank you" for your time in completing the above questions

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