Please complete this form in BLOCK CAPITALS and send it to:
Mrs. G. Rees, Tircoch Farm Holiday Cottages, Tircoch Isaf Farm, Llanmorlais, Swansea, SA4 3UQ
We have a no smoking policy within the property. 

Arrival day	
Departure day	

Name	
Address	

Post Code	
Tel. Home	
Tel. Mobile	
Tel. Work	
Fax	
Email	

Signature	
Date	

Have you stayed with us before? 
Yes/No	

If not, please state where you saw our advertisement

Estimated arrival time
 (after 4pm)	
Linen required                           Yes / No	
   Car Registration No.	
Other requirements:

	

 A non-refundable deposit of 30% is required when booking and full payment should be made six Weeks before your stay. Please make payment to Mrs. G. Rees.  Cancellations will be charged full rate unless we are able to re-let the property.