Holiday Reservation Form Polcoverack Farm Cottages, Coverack nr Helston Cornwall TR12 65P http://www.polcoverack.co.uk Print Page Return

E-mail: angells@polcoverack.co.uk Postal Address: Polcoverack Farm Cottages Coverack Helston Cornwall TR12 6SP Telephone: +44 (0)1326 281021 Facsimile: +44 (0)1326 280683

Applicant Name: (Mr/Dr/Miss/Mrs/Ms)	____________________________
Full Address:	____________________________ ____________________________ ____________________________
Post Code:	______________
Telephone Number:	______________
E-mail Address:	____________________________
Number of people in party:	Adults:       Children:
Name of Cottage:	______________
Dates required:	From: ___/___/___ To:___/___/___
Linen:	Yes / No (£ No Charge) Doubles ____ Singles: ____ Bunks: ____
Highchairs:	Yes / No (£ No Charge)
Travel Cots:	Yes / No (£ No Charge)
Pets (£25 per dog per week)	£_____
Accommodation:	£_____ ( = £_____ per week ×_____ weeks)
Total holiday cost:	£_____
Less 1/3 deposit payable on booking:	£_____
Balance due 6 weeks prior to arrival:	£_____
Payments: Please make cheques to "Polcoverack Farm Cottages"

How did you find about us?       By word of mouth       Been previously       Seen advertising       Other website       Other: ____________________

Signed: _____________________ Date: _____________________

Please note: we do not take bookings via the Internet. Contact us by e-mail or telephone to confirm availability of your chosen holiday dates and cottage. You may if you wish print off this reservation form to send with your deposit.