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

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 * :

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: ........................................

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