Please reserve Smallwater Lake Chalet & / or La grange (the lodge)* information required

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

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

e-mail * :     Telephone * :

● Balance due  * :

● Balance Deposit (30%) * :

● Balance due after deposit  * :

   Please state the age of under 16s

● Client 01 *: ● Client 02 *:

● Client 03 *: ● Client 04 *:

● Client 05 *: ● Client 06 *:

● Client 07 *: ● Client 08 *:

● Client 09 *: ● Client 10 *:

● Client 11 *: ● Client 12 *:

● Client 13 *: ● Client 14 *:

● Booking made by *:

● Address :    ● City :

● Post code :    Country :

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

● Please sign *:Signature: ................................................. Date: ........................................