Booking Enquiry Form


Debit or Credit Card Payment


If paying by debit or credit card please complete the details below and click "Submit" at the bottom of the form.

All fields marked * must be completed.

PROPERTY DETAILS
 

Booking Ref:* 
Arrival Date:*  Departure Date:* 

YOUR DETAILS
 

Surname : *     
Initials: 
Title: 
Address : * 
Postcode : 
Email : * 
Telephone (Home):  ( Mobile):    (Work):   
Number of adults : * 
Children (2-16) : 
Infants (under 2) : 
Dogs : 

 

OTHER MEMBERS OF THE PARTY
 

Surname:  Initials:  Title:  Age:    Surname:  Initials:  Title:  Age: 
 
 
 
 
 
 

We accept most major debit and credit cards.
 
Card
Card Number Start Date Exp Date CVV
 
I authorise Southwest Holiday Cottages to charge my account with:
     
Deposit 50% of the rental
£
or Full Rental (compulsory if less than 6 weeks until holiday) 
£ 
Booking fee £27.00 PER WEEK 
£
Total payable on booking * 
£

* (please tick) Declaration- I declare that I am over 18 years old and have read and fully accept and agree to be bound by the booking conditions and agree to pay the balance six weeks prior to the commencement of the holiday.
 

Please note there is a 2% surcharge when paying by credit card.