Molly's Cottage

Your name and address

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Details of your party

Please note there is one double room but the sofa in the sitting room converts to a four foot bed or we have a single bed. Tick box if additional bedding will be required for these. (Please note there will be an additional charge of £25 for the bedding)



Adults....................................


Children....................................

Contact Details

Home Tel No..........................................

Work Tel No..........................................

Mobile Tel No..........................................

Email address..........................................

Accommodation Required

Double bedroom

Sofa bed

Single bed

Preferred Dates

(Saturday pm to Saturday 10am.)

Start date................................................

Duration..................................................

Leaving date...........................................

Payment Details

(for office completion)

Total due £................................................

Deposit £..............................................

Date paid..................................................

Balance due £...........................................

Date due...........................................