Title
---MrMrsMissMsOther

First Name

Surname

Phone No.

Mobile No.

* Useful during the holiday if we need to contact you

Email

Address

Postcode

Start Date of Holiday:

End Date of Holiday:

Please select if any of the following are required: High ChairCot

Please list all the members of your party

Please note that smoking is not allowed in the cottage. Please confirm smokers in your party are prepared to smoke outside?
Yes

Breed & number of dogs

Where did you hear about Primrose Cottage?
---Bude Tourist Information Centre / Visit BudeVisit BritainDog Friendly BritainCornwall OnlineWord of MouthGoogle SearchOther

On behalf of all members of my party, I agree to abide by the Booking Conditions, Dogs Policy and the conditions of the Wireless Internet Access Service (WiFi).

Please read our Booking Conditions and Dog Agreement and Policy before continuing.

I agree

[recaptcha]