Greenacres Barn Holiday Cottage
 Online Booking Form


Start Date of Holiday Total No. of Nights

End Date of Holiday

Name & contact details of party leader

Name:


Address :
………………………………………………………..
………………………………………………………..
……………………………Post Code.……………..

Phone: ………………………………………………………..
Mobile: ………………………………………………………..
Email: ………………………………………………………..

Names of other party members
No of Adults …..… No of children ……..
1 …………………………………………………………………………………………
2 …………………………………………………………………………………………
3 …………………………………………………………………………………………
4 …………………………………………………………………………………………
5 …………………………………………………………………………………………
6 …………………………………………………………………………………………
7 …………………………………………………………………………………………
8 …………………………………………………………………………………………

Pets (number & type)
…………………………………………………………………………………………………

Total Holiday Price £……………

Deposit Due (30% of total including Pets) £……………

Please print and complete this form then post with your cheque (payable to Miss C Day & Mr D Barnett) to:-
Greenacres Farm, Hayfield Road, Chinley, High Peak, Derbyshire, SK23 6AL .
Tel: 01663 750 373


PLEASE NOTE: - By completing and submitting this form you are signifying your acceptance of our Terms & Conditions.