Booking Form
Hillend Guest Suite
Title
Mr
Mrs
Miss
Other
Full Name
House Name/Number
Street
Town/City
County/State
Postcode/Zip
Country
Telephone inc. STD
Email Address
Arrival Date
January
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December
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Departure Date
January
February
March
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November
December
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Number of Nights
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Number in Party
1
2
Number of Pets
0
1
2
Preferred method of booking confirmation
Email
Postal
Payment upon confirmation will be
Deposit
Payment in Full
to be paid within seven days of confirmation of booking
Method of Payment
Cheque
Postal Order
Credit Card Online
Postal Address
Mrs R O'Hare
Hillend Cotage
Moffat
Dumfriesshire
DG10 9LE
Payment Balance
Any balance outstanding is payable on arrival by cash or cheque with guarantee card.
By sending this form, you are confirming you agree with our terms and conditions.
Terms and Conditions
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