Booking Form

Heart of the Country Holidays
Hampton House Farm
Combrook, Kineton
Warwickshire CV35 0JH
01926 641829 / 07971 623304
Carolyn@HeartoftheCountryHolidays.co.uk

Long Ground Barn Booking Form (131)

A non-refundable Deposit of £100.00 per week is required with the Booking Form. Cheques made payable to N R Gasson. Please send both to the above address.

Alternatively, email the booking form below and make a  BACS payment to

Account name -  N R Gasson , Account No – 41312464,  Sort code   40-09-02. Please put your name as reference and inform me by either  email or phone,  that this is your preferred method of payment.

Once I have received this, your booking is confirmed and I will send confirmation to you.

Name of hirer (required)

Your adress (required)

Email address(required)

Home phone

Arrival date (required)

Departure date (required)

Number of adults

Number of children

Dogs at £20 per dog

Extra requirements
Cot Highchair Wheelchair ramp Shower chair Toilet seat raiser 

Additional information

How did you hear about us?

I confirm that I am 18 years of age and agree to the Terms & Conditions of hire, which I have read and understood .
(click in the box to confirm)

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