Self Catering Booking Form


Type of booking:

One Bedroom Lodge

Two Bedroom Lodge Aspen

Two Bedroom Lodge Birch

Two Bedroom Lodge Hazel

Holiday Caravan 12ft Wide

Booking details:

 
Date of arrival (dd/mm/yy)
Date of departure(dd/mm/yy)
Number of nights
Est. arrival time (from 3pm)
Number in Party
Number of Dogs

Contact details:

Name
Address Line 1
Address Line 2
Address Line 3
Address Line 4
Post Code
Telephone
email
email repeat

DEPOSIT PAYMENT

If you wish to pay by credit card please complete details below:

Credit card type
Name on the card
Credit card number
Expiry Date
Start Date
Last 3 numbers on signature strip
Issue number (for switch)

Please note this is not a secure server

Alternatively you can telephone, (+44) 01967 431235, with card details

Or, please print this form and send it with a cheque made payable to Resipole Farm to:

 Resipole Farm, Loch Sunart, Acharacle, Argyll, PH36 4HX, Scotland

Do you have any other comments?

Thank you for your booking - we will send a confirmation