Booking Form Island Cottage Holidays

Your Name		eg. John Brown
Booking Ref. No.
Cottage Name	Tip: How to create a free email form Ever needed to create a php form for your website but had trouble? We recommend Emailmeform, a service that allows you to create a email form easy in a few steps. No need to learn HTML or PHP!
Start Date		eg. 31/10/08
Finish Date		eg. 14/11/08
Weeks		eg. 2
Cottage rental	£	eg. 398
Address		eg. 34, West St, Wareham, Dorset
Postcode		eg. AB12 3CD
Telephone
Email address
Party details		Name + Age eg John Brown - 55 Jane Brown - 56 James Brown -19
Pets		(may incur and extra charge)
Pets details		Breed/Age/Size eg. Collie/4/Small
Doubles rooms		Double beds required
Single rooms		Single beds required
Twin rooms		Twin beds required
Extra beds		(may incur and extra charge)
Cot & HighChair		(may incur and extra charge)
Towels		(may incur and extra charge)
Optional Ferry Booking - Car 1 (Only if Island Cottage Holidays is booking your ferry)
Car 1 Ferry Crossing
Car 1 Registration		eg HG55 1AA
Car 1 Outgoing Date & Time		*eg 31/10/08 - 11:00*
Car 1 Incoming Date & Time		*eg 14/11/08 - 14:30*
Car 1 Adults		16 years and over
Car 1 Children		5 - 15 years
Car 1 Infants		less than 5 years
Car 1 Height & Length		(if greater than 2.24 x 6 meters)
Car 1 Trailer	Yes
Car 1 Mobility problem	Yes
Optional Ferry Booking - Car 2
Car 2 Ferry Crossing
Car 2 Registration		eg HG55 1AA
Car 2 Outgoing Date & Time		*eg 31/10/08 - 11:00*
Car 2 Incoming Date & Time		*eg 14/11/08 - 14:30*
Car 2 Adults		16 years and over
Car 2 Children		5 - 15 years
Car 2 Infants		less than 5 years
Car 2 Height & Length		(if greater than 2.24 x 6 meters)
Car 2 Trailer	Yes
Car 2 Mobility problem	Yes
If you require additional ferries you will receive an 'extra ferry' option after submitting this form.
Total Ferry Cost	£
Insurance
Insurance details		If Own Insurance: PolicyNo. + Company
Insurance cost	£
Notes		(optional)
Authorise Balance Payment	Yes
Accept Conditions	Yes	Conditions of booking

EmailmeForm