<p> Middle Farm Holiday Cottages Booking Form Brushfield, Nr Taddington Derbyshire SK17 9UQ, Tel 01298 85787</p><p>Cottage/s Required: Albertine (sleeps 8) Maigold (sleeps 4) </p><p>Cot High Chair Cot High Chair</p><p>Holiday Dates: Arrival date ……………….. Time …………….</p><p>Departure date …………..Time ……………..</p><p>(Arrival time from 3.00pm and departure time by 10.00am unless otherwise agreed with owners)</p><p>No. of nights – </p><p>My Holiday Party will comprise:</p><p>Name* Name* *Age (if under18)</p><p>……………………………………………………….. ……………………………………………………….. ……………………………………………………….. ……………………………………………………….. ……………………………………………………….. ……………………………………………………….. ……………………………………………………….. ………………………………………………………..</p><p>I enclose a cheque payable to Middle Farm Holiday Cottages for:</p><p>£ 50% Deposit (50% by return of post) £ Supplement for dog £ Balance (to be paid 4 weeks before holiday)</p><p>£ Total cost of holiday</p><p>Note: A returnable security bond of £200 for Albertine and £100 for Maigold is required at payment of balance stage. This is returnable within 7 days of vacating the property subject to the cottage inventories remaining intact and separate. Also they must be left in a satisfactory condition, fair wear and tear excluded.</p><p>Reminder: Numbers using property in excess of normal sleeping capacity, as stated above, cannot be accepted and will be deemed to be in breach of contract. Albertine and Maigold are “No Smoking” properties. Please let us know immediately if these limitations mean your booking can no longer be confirmed. </p><p>Contact Name…………………………………………………………………………………………………………….</p><p>Postal Address………………………………………………………………………………………………….…………</p><p>Email Address…………………………………………………………………………………………………………….</p><p>Home Tel. No.…………………………………………………Mob. No………………………………..…….……</p><p>Signature……………………………………………………………………………………………………….…………… Date…………………………………………………………………………………………………………………………….</p><p>Please state below how you found out about our Holiday Cottages; …………………………………………………………………………………………………………… ……………….….….</p>