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Valleybrook
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Online Booking Form
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* = required field
Your stay
Accommodation
choose...
Gilliflower
Fairfield
Blackamoor
Chacewater
Hocking
Pippin
Bramley
Orchard
*
Arrival Date
*
Departure Date
*
Nights
*
Your details
Title
choose...
Mr
Mrs
Ms
Miss
Dr
Rev
*
Forename
*
Surname
*
Age
(if under 25)
Email
*
Telephone
*
Mobile
*
Address
*
Postcode
Guest details
(Please provide first name, surname and, if under 25,
the age of each member of your party)
No. of Adults
Children
Babies
(under 2)
*
Title
First Name
Surname
Age
Guest 1
...
Mr
Mrs
Ms
Miss
Dr
Rev
Guest 2
...
Mr
Mrs
Ms
Miss
Dr
Rev
Guest 3
...
Mr
Mrs
Ms
Miss
Dr
Rev
Guest 4
...
Mr
Mrs
Ms
Miss
Dr
Rev
Guest 5
...
Mr
Mrs
Ms
Miss
Dr
Rev
Guest 6
...
Mr
Mrs
Ms
Miss
Dr
Rev
I/We confirm that the number of guests entered above will not be exceed during our stay.
Pets
(Please provide name, breed and age of each dog.)
No. of Dogs
0
1
2
(£3 per dog, per day or £20 per dog, per week)
Name
Breed
Age
Dog 1
Dog 2
I/We would like to bring our dog(s) and agree to abide by
Booking Conditions 9 & 10
and also agree to pay the cost of rectifying any damage caused to the accommodation by the dog(s).
Vehicles
Registration
Number(s)
Optional Extras
Can only be hired for entire stay - prices are per week or part week
Telephone
£10 (direct dial payphone, limited availabily)
Towel Packs
£7.50 per person
Cot(s)
£5 each (bedding not provided)
Stairgate(s)
£2 each
Highchair(s)
£3 each
How did you hear about us?
Source
choose...
Ask Jeeves
Active-8
Cartwheel Holidays
Chycor
Connexions
Cornwall Brochure
Cornwall Online
Cornwall Tourist Board
Cottage Guide
Dog People
Food4myholiday
Google
Green Tourism Business Scheme
Holiday Cottages Magazine
Holiday Cottages UK
Internet
Pets Invite
Pets Welcome
Recommendation / Friend
Return Visit
RSPB, S.E. Cornwall Tourism Association
Southern UK
Taste of S. E. Cornwall
Tourist information
Visit Britain / Cornwall website
Other (please detail below)
*
Terms & Conditions
Confirmation
I/we have read, understand and agree to comply with the
Booking Terms & Conditions
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