Booking Form

You can send a Booking Form by either –

1. Cut and paste and complete the Booking Form in Word, or similar software, or
2. Print the Booking Form, complete by hand and post it to the address shown below, or
3. Email, or text, or hand write, or post the information to us, i.e. don’t use the Booking Form, whatever you prefer.

With reference to the terms stated please reserve the self catering holiday cottage –

Rose Cottage, 1 Woodland Terrace, Ridley Hill, Kingswear, Dartmouth, TQ6 0BZ for the period

FROM                                                             – TO

At £                     per week

Alternatively, it is recommended that you give a second choice of dates in case your first choice is already booked.

I enclose £75 cheque, postal order, bank transfer, etc. as Deposit per week,

leaving a balance of £               to pay at least two months before the start of my holiday.

Please make Cheques, Postal Orders, Bank Transfer, PayPal, etc. in favour of –

Mr Max Manners, 151 Marine Drive, Rottingdean, Brighton, BN2 8AA

How did you hear about our holiday cottage Moonriver?

Press      Friends       Web      Stayed before      Other

There will be ……     Persons  in my party

I am over 18 years of age and my Name and Address is – (BLOCK CAPITALS PLEASE)




Home Telephone

Mobile Telephone (As an Emergency contact for us)


I agree to be held responsible for the Balance of the Rent that become due in accordance with the conditions stated above. Neither Mr or Mrs Manners, nor their staff can be held liable for any injury, damage or loss to tenants or their property. Tenants will be held responsible for any loss or damage to Rose Cottage, 1 Woodland Terrace, Ridley Hill, Kingswear, Dartmouth, Devon, TQ6 0BZ or its contents.

Signature & Date

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