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If you would like a download a copy of our Brochure please click this link PDF Brochure

Please enter your information in the boxes provided. When you have completed the form please press "Submit" to automatically send the information electronically. Your booking will be acknowledged within 1 working day and held for a further 5 days. Only when we receive your deposit will the booking be confirmed.

Personal Details:

Property

Title	Mrs Mr Miss Ms Dr Other  * denotes required information
First Name	*
Surname	*
House name or number	*
Address line 2	*
Address line 3
Address line 4
Town/City	*
County	*
Post Code	*
Country
Email address	*
Telephone	*
Mobile Telephone

Please enter your preferred date: July 4th 2009 September 5th 2009 September 12th 2009 September 19th 2009 September 26th 2009 October 3rd 2009 October 10th 2009 October 31st 2009 November 14th 2009 November 21st 2009 November 28th 2009 December 5th 2009 December 12th 2009  *  Number of weeks: 1 2 3 4  *

What is your next preferred date: None July 4th 2009 September 5th 2009 September 12th 2009 September 19th 2009 September 26th 2009 October 3rd 2009 October 10th 2009 October 31st 2009 November 14th 2009 November 21st 2009 November 28th 2009 December 5th 2009 December 12th 2009       Number of weeks: 1 2 3 4  

How many adult guests are there? 1 2 3 4  *  Children? None 1 2 3 4  * Will you require a cot? Yes No *

I understand and accept that there is a strict no smoking policy in force at the cottage: Yes

I understand and accept that pets are not allowed at the property at any time: Yes

Do you have any special needs or request? No Yes

Unfortunately due to the abuse by e-mail spammers, we have had to remove the text box that allowed you to enter your requests directly online. However if you have selected "Yes" in the option box above, we will contact you directly regarding any special requests or requirements that you may have.

As you will appreciate, we want to promote our cottage and we put much time and effort into doing so. To help us channel our resources in the correct ways please would you be kind enough to tell us how you found out about our website: Alta Vista AOL Ask BBC website Excite Glavenvalley Google Keys Holidays lycos MSN Norfolk Coast website Other Other Search Engine Personal recommendation Tiscali Wanadoo We have stayed with you before Word of mouth Yahoo

All stays are subject to a £100 key deposit payable with the balance. This deposit is FULLY refundable upon return of the keys providing that the cottage is left reasonably clean and tidy and that there have been no MAJOR breakages.

By submitting this form I confirm that I have read and agree to abide to the terms and conditions. I also understand that the owners of and agents for Marjorie Cottage operate a strict policy regarding pets and smoking. Should I or anyone in my party during my booked week/s fail to observe these conditions, I understand that we will be asked to vacate the property immediately without any form of refund. Our policy regarding smoking and pets

I accept:

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