Booking Form for Orchard House

NOTE: Please make a provisional booking with Hicks Farm Holidays before completing the booking form.

Please fill in the form below or for a printable version (PDF) click here.

The form will not submit if you have not completed all the required fields.

If the form fails to submit then you will see an error message and the fields you need to fill will be highlighted in red.

Once you have successfully submitted the form you will receive a copy of you completed form by email.

Orchard House Booking Form

* Indicates required field

Name of the person making the booking (the hirer)*

Address*

Street Address Street Address Line 2 Town County Postcode AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country

Email*

Phone

Please confirm the dates agreed with Hicks Farm Holidays*

*Please note, maximum occupancy is 14 persons plus 3 babies in cots*

Number of Adults*

None1234567891011121314

Number of Children*

None1234567891011121314

Number of babies in cots (< 30 months)*

None123

Pets (Number of pets & breed or none)*

Number of high chairs required*

None123

Number of cots required*

None123

Do you require a Stair Gate?*

Yes

No

In Bedroom 01 please make up:*

Just the King-size bed

Just the single bed

Both beds

Just the King-size bed with Cot

Just the single bed with Cot

Both beds with Cot

Just the Cot

This room is not required

In Bedroom 02 please make up:*

1 Single Bed

2 Single Beds

3 Single Beds

All Beds

I do not require this bedroom

In Bedroom 03 please make up:*

1 Single Bed

2 Single Beds

All Beds

I do not require this bedroom

In Bedroom 04 please make up:*

King-size bed

King-size bed with Cot

Just the Cot

I do not require this bedroom

In Bedroom 05 please make up:*

1 Single bed

2 Single beds

Super King-size bed (2 zipped together)

1 single bed with cot

2 single beds with cot

Super King-size bed with cot

Just the Cot

I do not require this bedroom

There is a hearing-aid user in our party

Yes

No

There is a wheelchair user in our party

Yes

No

Full Tariff for the above dates - Please see email correspondence from Hicks Farm Holidays.*

I enclose (30% non-returnable deposit due on booking - full amount due if booking less than 8 weeks to arrival date) - Please see email correspondence from Hicks Farm Holidays.*

Payment by*

Cheque

BACS

I have read and agree to abide by the Booking Conditions. For Booking Conditions please see link below:*

I agree

Booking Conditions

I wish to be added to your mailing list and receive any future mailings

Yes

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