<p> Milton Brook Holiday Cottages S Rigby, Milton Brook Cottage, Barrow Lane, Great Barrow, Chester, CH3 7HW Tel/Fax: + 44 (0) 1829 741166 Mob: 07894 139145 www.miltonbrook.com Booking Form Name and Address including postcode: Tel: Email:</p><p>Dates booked: From: To:</p><p>Name of cottage: (please tick) Grooms Dairy Stable Mill Barn Hayloft* Granary Rose</p><p>Number of Adults: Number of Children: Any special requirements: Cot Stairgate Highchair Door ramps Child bed guard Where did you hear about us?</p><p>I have read the terms and conditions and agree to abide by same. I understand that these properties and the indoor leisure areas are all non-smoking.</p><p>Signature: Print name:</p><p>Total price of reservation £</p><p>Deposit enclosed (25% of total price) £</p><p>Full price enclosed (If 56 days or less from the booking date) £</p><p>Please make cheques payable to: Milton Brook Estate. (*For Hayloft bookings please make cheques payable to M Chesworth.)</p><p>PLEASE RETURN THIS FORM AND PAYMENT TO THE ABOVE ADDRESS.</p><p>VAT Registration No: 799 5455 52 Director: Mark Chesworth</p>