Booking request form (Print this form and send by post)
Your name: ............................................................
Address: ............................................................
Town / City: ............................................................
County: ............................................................
Post code: ............................................................
Telephone: ............................................................
Your Email: ............................................................
Choice of cottage:...........................
Date - arrival:....................................
Date - departure:...............................
No.of adults:....................................
No.of children:..................................
Deposit (25%) enclosed:.£................
Balance due 28 days before arrival please.


Please make cheques payable to:
Heath Farm Holidays Limited

I have read and accept the Conditions of Booking 

To: Heath Farm Holidays,
Heath Farm,
Ponsongath,
Coverack, Helston,
Cornwall TR12 6SQ
tel: 01326 280521
Signature:....................................................
Date:....................................

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