1). Name and Address of Person making booking: (Block Capitals Please)
Surname...............................................Initials.............................Mr/Mrs/Miss............................................
Address.............................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
Home Phone No...................................................Work Phone No.................................................................
2). Other Members of Party:
Surname............................................Initials.................Mr/Mrs/Miss.................Age if under 18..................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
.........................................................................................................................................................................
Cot required. Yes/No. High Chair required. Yes/No.
3). I should like to rent the Holiday Cottage called ...................................Cottage at ..............................................Nr. Chipping Campden for holiday accommodation, from 4.00pm on ...................day......................................to 10.00am.........................day.....................................
4). I enclose : Deposit at 1/3 Rental OR full rent if less than 6 weeks beforehand £.....................
Balance £...................... Total £.........................
5). Cheques in Pounds Sterling only to be made payable to Robert Hutsby or Credit Card Details:
Name on Credit Card.................................................................Card Type.................................
Expiry Date (Month/Year)............Credit Card No........................................................................
Issue No. (If applicable)...........

6). Booking Conditions: The property booking shall be in the name of one person (who must be over 18 years of age) who shall be responsible for the actions of all members of their party. The names of all members of the party must be on the booking form. No cottage may be occupied by more than the agreed number of persons. The cottage may only be occupied for the purpose of a holiday and under no circumstances can the period booked be extended without permission in writing. Please treat the property and its contents with care. Report any breakages ASAP which must be paid for. Once the deposit (or full rental) is received this will be counted as a firm booking. you are then responsible for the balance no less than 6 weeks before the start of the holiday. If you wish to cancel at any time we will only make a refund (less £15 for administration) if we can re-let the property. We recommend that you take out your own cancellation insurance. If for any reason the cottage owner needs to cancel a confirmed booking the liability is limited to the return of any payments received. For credit cards payments:- I authorise Chipping Campden Holiday Cottages to debit my credit card with the deposit payment and the balance when due. For credit cards please add 1.5% for each transaction.

I agree to the above booking conditions. Signature......................................................

Date...................................

Bookings will be confirmed by letter, fax or e-mail. Directions will also be sent. Please telephone with the approximate time of arrival and instructions for the keys a few days before your booking.