Booking Form Please phone/email to check availability and provisionally book your holiday. Tel.01769 560503 email kate@country-ways.net Print this form and send it with your deposit to:- Country Ways, Little Knowle Farm, High Bickington, Umberleigh, Devon EX37 9BJ. Name of Hirer.......................................................................................................... Address................................................................................................................... .....................................................................................Post Code.......................... Tel. No........................................... Mobile No......................................................... email..................................................................................................... Names of the people in your party (include age if under 18) Please indicate wheelchair users. ............................................................................................................. ............................................................................................................. ............................................................................................................. ............................................................................................................. ............................................................................................................. ............................................................................................................. Cottage Name....................................................................................... Arrival Date - After 3.00pm ....................................... Departure Date - By 10.00am ................................... Number of nights.................  Cost of Stay  £_______  Sky (£2.50 per night) if required  £_______ Internet Connection (£1 per Night)  £_______ not in Warren or Dray  Total  £_______  Deposit of at least 25%  £_______  Balance remaining - must be paid    1 month before arrival date  £_______ Cheques made payable to Kate Price We also accept debit cards ie - Delta, Maestro & Switch Card Number................................................................................................ Start date........... Expiry date.............. Issue No........ Security Code.................. I would also like Country Ways to charge my account with the Balance Payment one month before arrival - yes/no Well behaved dogs are welcome by arrangement outside of school holiday periods Click here for details   Will you be bringing dogs Yes/No    Number......... Special Requests......................................................................................................... ...................................................................................................................................  High Chair Yes/No  Cot Yes/No Linen for Double Sofa Bed Yes/No  Extra single fold-out bed with linen - Yes/No I have read and accepted the conditions of booking. Signature..................................................................Date........................... Have you stayed with us before Yes/No

Country Ways Holiday Cottages Little Knowle Farm, High Bickington, Umberleigh, Nr Barnstaple, North Devon, UK. EX37 9BJ Tel 01769 560503 Click here to email Kate Price