Demo Cottage - Online Booking form

Please enter your booking details in the form below. They will be sent directly to us, with an email copy to you.
Note: You will see a printable copy of the data entered after you submit.

Please note - this sample form requires a suitable script to be installed on your server.
See example supplied: procbooking.php It has been updated for the GDPR news question (below).
This example is now quite outdated and was not designed for mobile devices (ie "responsive") but it still works!

Please enter your details in the form below. Items marked * are required.
We suggest you make a note of the dates and charges before you start completing the form.
Some items are entered automatically (eg a default term of 1 week) but all can be overridden.


Dates agreed and details of person making booking
From (d/m/yyyy)* button to: (d/m/yyyy):* button
Surname* First name*
Phone (eve)* Phone (day): 
Email address* Mobile: 
Address* Please include postcode in the address
Comments If appropriate add comments (eg different arrival times if agreed)
New visitors: How did you find our site? (thanks!)
Charges (in £ sterling. No need to type £).
        Rent*
Add Fuel charge (Summer £28/week, Winter £50/week, else £39/week)*
Add cost of pet  (Must already be agreed by phone) 
TOTAL 
Deposit = 25% of TOTAL (full amount payable if less than 6 weeks before holiday)
BALANCE DUE     (payable 6 weeks prior to start of holiday)
Please supply details of those staying
              NAMEAGE (if under 16)
1
2
3
4
5
6
7
8
9
Would you like to receive occasional news and offers? YES   NO
Please check to accept the booking conditions:

      or      

When you have entered your details, please double check (especially email).
Then click Submit.  (Please wait for up to 30 seconds for a response)
We will send a copy of your booking request to the email address you have entered.

You can also complete, print and post the form with your cheque if you prefer.


V3 Apr 2018