Barks Holiday Cottage - Booking Form 2017
Please use this form to confirm your booking at Barks Holiday Cottage. If you have queries prior to booking please call or email James & Catherine on 01538 703163
After pressing submit you should receive an email confirmation from us within 24 hours. If for some reason you don't please contact us.
Many thanks.
Arrival date:
Arrival after 3pm
Departure date:
Departure is by 10 am
Number of nights you are booking
Contact Telephone:
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Contact Email Address:
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Contact Address & Postcode:
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Name of person responsible for the booking:
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Guest 2
Please add the names of the rest of your group (and ages of younger children)
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Guest 3
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Guest 4
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Guest 5
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Guests 6 and 7
The cottage sleeps 5 so additional guests need to be booked into the Annex (a seperately accessed double room with ensuite that is available at an additional fee - please enquire) or arrangements made to accommodate them in Barks e.g. by requesting a cot
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Please complete if you are bringing dogs:
Please confirm that you accept our terms and conditions relating to dogs by checking the following. You need to bring your own dog beds and towels etc and not allow dogs on the furniture or in the bedrooms. May we also remind you that the garden is not enclosed and there are farm animals on the loose in the area.
Any other comments about canine guests
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Special requirements
Bed linen and towels are included.
The rooms are usually arranged as one Double Room and one Family Room (adult-sized bunks + single). Depending on the time of year, for a booking of four adults we can change the family room to a twin room - by prior arrangement.
The Annex is a separately accessed double room with ensuite bathroom available for an additional fee.
Please check the boxes to indicate your requirements. Please note, we only offer to change to Double and Twin layout for adult couples
Payment Methods
We will reserve your chosen dates while payment is being organised. We require 50% payment on booking to confirm your reservation and the balance is payable 4 weeks prior to arrival.

Account details for electronic transfer: Sort Code: 30-90-25 Account Number: 11932560 Name: Doel & Sells. Please reference your payment with YOUR NAME.

We do not have credit card facilities. If paying by cheque please make cheques payable to 'Doel & Sells' and send to Barks Holiday Cottage, Moneystone, Oakamoor, Staffordshire, ST10 3DX.

For Paypal use

My preferred payment method is:
Choose from dropdown list. We will confirm receipt of all payments. Once your deposit is received your reservation will be complete.
Total amount payable for your stay £
If you are unsure of the rate for your stay please confirm with us by email or phone 01538 703436. Please remember to include add fees for the Annex or a second dog. nb for 'dog sitting' please settle up during your stay.
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Deposit amount £
A deposit of 50% is required on booking. The remainder is due 4 weeks prior to arrival.
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I have read the Terms & Conditions (on the website or as sent to me) and I agree on behalf of my party to be bound by them and to pay all balances due for our holiday. All the details submitted in this form are true and correct to the best of my knowledge:
How did you hear about Barks Holiday Cottage?
It really helps us to know, so your help is appreciated.
Have you stayed at Barks Cottage before?
Did you check Barks Holiday Cottage details on any of the following web sites?
Did you 'Google' search?
please be as specific as you can about the search term you used.
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Was Barks Cottage recommended to you?
If someone sent you our way we'd like to thank them. Please give us their name and contact details.
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Would you like any further information?
Please let us know if you have queries about any arrangements or would like information to help plan your stay.
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Thank you for booking Barks Holiday Cottage
If you have any queries in the run up to your stay please don't hesitate to contact us.

Catherine & James
Barks Holiday Cottage
01538 703436

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