Cotteswold House

On-Line Reservation Form

Please complete all details in Sections 1- 3.
Then complete Section 4 (for Bed & Breakfast) or Section 5 (for Self-Catering).

Once completed this Form can be returned to us by pressing the 'Submit' button at the bottom of this page.

Your request will be dealt with as quickly as possible.

Confirmation and payment details will be returned to the e-mail address you give in Section 1

Section 1: Your Details

Your Surname:    

Your Initials:           Your Title: SelectMrMrsMissMsDrReverend

Your Address:   

                                                                      Post Code/Zip: 

                                                                  Tel no: 

                                                           Mobile no: 

                                                                 Fax no: 

Your Email Address:  

I would like to reserve accommodation as specified below:

Section 2: Dates of Intended Stay

From (Day/Date of Arrival):

Day ...... Select day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date .... Select date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month .. Select Month January February March April May June July August September October November December Year .. Select Year 2007 2008 2009

To (Day/Date of Departure):

Day ...... Select day Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date .... Select date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month .. Select Month January February March April May June July August September October November December Year .. Select Year 2007 2008 2009

Total Number of nights: 1 2 3 4 5 6 7 Other
(if 'Other' selected please type no. of nights here ..........)

Section 3: Number of Adults/Children

Number of Adults (including children aged 13 and over).............0123456

Number of Children aged 3-12 (inclusive).....................................01234

Number of Children aged under 3 years .......................................012


Please state any special requirements here:

Section 4: Bed & Breakfast Accommodation
(Please complete this section if Bed & Breakfast accommodation is required)

Do you wish to book Bed & Breakfast accommodation? .......Please select Yes or NoYesNo

Number of Double Room(s) required (select here.  Max = 2).................012

Number of Twin-bedded Room(s) required (select here.  Max = 1)........01

Number of Single Room(s) required (select here.  Max = 3)..................0123

Please note the maximum number of Rooms that can be booked for B&B is 3

Section 5: Self-Catering Accommodation
(Please complete this section if Self-Catering accommodation is required)
Do you wish to book Self-Catering accommodation? .....Please select Yes or NoYesNo

Please select your preffered choice of Cottage

                                                              Gable Cottage ..........Please select Yes or NoYesNo

                                                          Courtyard Cottage ......Please select Yes or NoYesNo

Each of our Cottages accommodate up to 4 persons (each has one Double 
and one Twin-bedded Room).  Courtyard Cottage has a downstairs cloakroom 
and a single covered garage.

We shall inform you if your preferred choice of cottage is not available at
the time of booking.

Please note that private car parking for only one car can be provided for 
each Cottage

Press here to clear all entries and start again



Please check your entries.
Press 'Submit' to complete you reservation request.