6 Denne Road, Crawley, West Sussex RH11 8AQ Tel : 07743073951 E-mail : enquiries@borrowdalecottage.co.uk Booking Form For Riverside Cottage, Grange in Borrowdale, Near Keswick, Cumbria, CA12 5UQ Full name:---------- Address:-------- Email: ------ Home Telephone:--------------- Mobile Telephone: ----------------- Booking Period From:-------------------- Booking Period To: ----------------- Number Adults in Party: ----------------------- Number Children in Party: ------------------------- Number Dogs in Party: --------------------- Total Cost:----------- A booking will not be accepted unless the £100 non–refundable deposit is enclosed with this form. I have read your terms and conditions and accept them on behalf of all members of my party who will reside in the property on whose behalf I am duly authorised to make this agreement. I am over 18 years of age. Signed: ------- Date:-----