Type the name of the home(s) that you require*:

Arrival date * :   (Format date:dd/MM/yyyy)

Departure date * :   (Format date:dd/MM/yyyy)

e-mail * :

Telephone * :

-------------------------------------------

● Deposit: 30% per each week reserved. To be received within 10 days of this reservation.

● Balance to be received no later than EIGHT weeks prior to your arrival day.

● Cheques should be made payable to: S. J. Kelway

● Balance due £ * :

plus a breakage deposit of: 250€ made out as a separate cheque. (The deposit will be returned to you within 7 days of your departure, provided that your accomodation is left in a clean state).

● Balance Deposit £ * :

● Client 1 * :

● Client 2 :

● Client 3 :

● Client 4 :

● Client 5 :

● Client 6 :

● Client 7 ::

● Client 8 ::

● Booking made by *:

● Address :

● City :

● Post code :    Country :

● How did you discover Smallwaterlake Chalet & La grange?

   Source : (i.e: Fisherman's Advice, Fishing guide, Friends, Internet)

By filling in and signing this form, you hereby confirm that you have read and accepted in full the terms and conditions, and furthermore, that you have also read and accepted in full the Accomodation Rules.

● Please sign below *:

Signature: ................................................. Date: ........................................

   Print This Page