Final Payment Form

Debit or Credit Card Payment

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

All fields marked * must be completed.


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


Surname : *     
Address : * 
Postcode : 
Email : * 
Telephone (Home):  ( Mobile):    (Work):   

We accept most major debit and credit cards. There is no charge for a debit card transaction. Each credit card transaction will incur a 2% charge on the total amount to be debited. The charge will be added after the booking form is submitted.
Card Type
Card Number Start Date Exp Date CVV
I authorise Southwest Holiday Cottages to charge my account with:
Final Payment

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