Name: ...................................................................................................................................................

Address: ..............................................................................................................................................

...............................................................................................................................................................

Telephone Number: ......................................... E-mail: .....................................................................

Please reserve Clematis Cottage for ...... week(s) commencing Saturday ..................................

Or for the following short break: ......................................................................................................

Accommodation is required for:

No. of Adults: ............ Children under 16:.............

Enclosed is a deposit (20%) of £............. / full payment of £...............
(Please enclose the payment in full if there is less than six weeks before your stay,
otherwise a deposit of 20% is required.)

Please make cheques payable to Francis Templer.

I have read the booking conditions and agree to abide by them.

Signed: ......................................................   Date: .....................................